Treatment of Upper Gastrointestinal Tract Fistules in the Surgical Intensive Care Unit

Czech version

Authors: J. Kulda; T. Kural; D. Hasman; P. Novák; M. Brabec
Authors‘ workplace: Chirurgická klinika FN Plzeň, přednosta: prof. MUDr. Vladislav Třeška, DrSc.
Published in: Rozhl. Chir., 2010, roč. 89, č. 7, s. 421-426.
Category: Monothematic special - Original

Overview

The authors performed a retrospective analysis in a group of consecutively treated patients with upper GIT fistules (ie. fistules with internal orifices in the esophageal, gastric and proximal small intestine region), hospitalized in the Plzeň hospital Surgical Clinic Septic Intensive Care Unit, from January 1, 2006 to December 31, 2008. The author assessed the results using statistical methods and he studied any causative relationship between the characteristics of the fistules, the treatment methods and the patients morbidity/mortality rates.

Key words:
gastrointestinal fistule –⁠ sepsis –⁠ SOWATS rules

Sources

1. Visschers, R. G. J., Olde Damink, S. W. M., Winkens, B., Soeters P. B., van Gemert, W. G. Treatment strategies in 135 consecutive patients with enterocutaneous fistulas. World J. Surg., 2008; 32 : 445–453.

2. Černý, J., et al. Špeciálna chirurgia. 2. rozšířené vydání, I. sv. Chirurgia tráviacej rúry. Osveta, 1996 : 134–168; 257–267.

3. Hájek, M., et al. Kritická onemocnění průdušnice a jejich léčení, GRADA Publishing, spol.s.r.o., 2000.

4. Campos A. C., Andrade, D. F., Campos, G. M., et al. A multivariate model to determine prognostic factors in gastrointestinal fistulas. J. Am. Coll. Surg., 1999; 188 : 483–831.

5. Lynch, A. C., Delaney, C. P., Senagore, A. J., et al. Clinical outcome and factors predictive of recurrence after enterocutaneous fistula surgery. Ann. Surg., 2004; 240 : 825–831.

6. Sitges-Serra, A., Jaurrieta, E., Sitges-Creus A Management of postoperative enterocutaneous fistulas: the roles of parenteral nutrition and surgery. Br. J. Surg., 1982; 69 : 147–150.

7. Lloyd, D. A., Gabe, S. M., Windsor, A. C. Nutrition and management of enterocutaneous fistula. Br. J. Surg., 2003; 93 : 1045–1055.

8. Levy, E., Frileux, P., Cugnenc, P. H., et al. High-output external fistulae of the small bowel: management with continuous enteral nutrition. Br. J. Surg., 1989; 76 : 676–679.

9. Makhdoom, Z. A., Komar, M. J., Still, C. D. Nutrition and enterocutaneous fistulas. J. Clin. Gastroenterol., 2000; 31 : 195–204.

10. Rosenthal, R. A. Nutritional concerns in the older surgical patient. J. Am. Coll. Surg., 2004; 199 : 785–791.

11. Hollington, P., Mawdsley, J., Lim, W., et al. An 11-year experience of enterocutaneous fistula. Br. J. Surg., 2004; 91 : 1646–1651.

12. Evenson, A. R., Fisher, J. E. Current managment of enterocutaneous fistula. J. Gastroinest. Surg., 2006; 10 : 455–464.

13. Conter, R. L., Roof, L., Roslyn, J. J. Delayed reconstructive surgery for complex enterocutaneous fistulae. Am. Surg., 1988; 54 : 589–593.

14. Chamberlain, R. S., Kaufman, H. L., Danforth, D. N. Enterocutaneous fistula in cancer patients: etiology, management, outcome, end impact on futher treatment. Am. Surg., 1998; 64 : 1204–1211.

15. Barclay, L., et al. Vacuum-assisted fascial closure of abdomen may be beneficia. Ann. Surg., 2004; 239 : 608–610.

16. Gibbs, J., Cull, W., Henderson, W., et al. Preoperative serum albumin level as a predictor of operative mortality and morbidity: results from the national VA Surgical Risk Study. Arch. Surg., 1999; 134 : 36–42.

17. Weidenhagen, R., et al. Endoscopic Vacuum-assisted closure of anastomotic leakage following anterior resection of the rectum: A new method. Surg. Endosc., 2008; 22 : 1818–1825.

18. Giovannini, U. M., Demaria, R. G., Teot, L. Interest of negative pressure therapy in the treatment of postoperative sepsis in cardiovascular Sumery. Wounds, 2001; 13(2).