[Results of treatment of external intestinal fistulas].
Results of treatment of 771 patients with external intestinal fistulas were analyzed. Duodenal fistulas were diagnosed in 47 patients, small-intestinal - in 366, large-intestinal - in 329, mixed - in 26, combined - in 3. Patients were divided into 2 groups: group 1 - 341 patients treated from 1983 to 1992, group 2 - 430 patients treated from 1993 to 2002. In group 1 - 294 (86.2%) patients underwent surgery, in group 2 - 405 (94.2%) patients. Differential approach to choice of treatment method, intraaortic therapy before and after surgery, use of developed devices for treatment of non-formed fistulas permitted to improve results of treatment and to reduce lethality from 10.3% in group 1 to 3,3% in group 2.
Kafedra obshcheĭ khirurgii im. A. I. Kozhevnikova Nizhegorodskoĭ gosudarstvennoĭ meditsinskoĭ akademii, oblastnaia klinicheskaia bol'nitsa im. N. A. Semashko.
A V
AV
Bazaev
V A
VA
Ovchinnikov
V A
VA
Solov'ev
A V
AV
Puzanov
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000601:surgery / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D013997:Time Factors