The cause and measurement of colonic fistulas after operation of severe acute pancreatitis

doi:10.3877/cma.j.issn.2095-3224.2016.04.015

Chinese Journal of Colorectal Diseases(Electronic Edition) ›› 2016, Vol. 05 ›› Issue (04): 348-350. doi: 10.3877/cma.j.issn.2095-3224.2016.04.015

Special Issue: ；

• Experience Sharing • Previous Articles Next Articles

The cause and measurement of colonic fistulas after operation of severe acute pancreatitis

Haijian Zhao¹, Hongsheng Zuo¹^,^†(), Lin Yang¹, Hong Ping¹

^1. Department of Gastrointestinal Surgery, Affiliated Huaian Hospital, Xuzhou Medical University, Huaian 223002, Jiangsu, China

Received:2016-04-29 Online:2016-08-25 Published:2016-08-25
Contact: Hongsheng Zuo
About author:
Corresponding author: Zuo Hongsheng, Email: zhj_cn90@163.com

Abstract

Abstract:

Objective

To investigate the causes and methods of prevention of colonic fistulas after operation of severe acute pancreatitis (SAP).

Methods

A retrospective study was performed among 78 SAP cases from Huaian Hospital to find out the related factors of colonic fistulas and to evaluate the methods of prevention and treatment.

Results

78 SAP patients were underwent operation. Colonic fistulas occurred in 14 SAP patients, among which 12 patients recovered while 2 patients died.

Conclusions

The risk factors of colonic fistula include anatomic factors, local inflammatory, improper operative time and surgical therapy, and so on. Early nutrition support, appropriate double cannula drainage, timely colostomy can accelerate the progression of the healing of colonic fistula.

Key words: Surgical procedures, operative, Pancreatitis, Colonic fistula

Haijian Zhao, Hongsheng Zuo, Lin Yang, Hong Ping. The cause and measurement of colonic fistulas after operation of severe acute pancreatitis[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2016, 05(04): 348-350.

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