胃空肠结肠瘘临床特征分析(附12例报告)

目的探讨胃空肠结肠瘘的临床特征。方法回顾性分析1970年8月至2006年1月收治的12例胃空肠结肠瘘病人的临床资料。结果12例病人既往均有十二指肠球部溃疡及胃空肠吻合术史。临床表现为腹泻12例(100%),粪性呕吐和(或)嗳气10例(83.3%),体重下降8例(66.7%)。诊断准确率:上消化道钡餐33.3%(3/9),胃镜44.4%(4/9),结肠镜85.7%(6/7),钡灌肠100%(11/11)。行一期手术11例,二期手术1例,术后死亡2例。结论对十二指肠球部溃疡术后病人,出现腹泻、粪性呕吐和(或)嗳气、体重下降时应警惕胃空肠结肠瘘的发生,结肠镜和钡灌肠检查是确诊率较高的诊断方法。

Clinical characteristics and diagnosis of gastrojejunocolic fistula:a report of 12 cases

Objective To investigate the clinical characteristics and diagnosis of gastrojejunocolic fistula (GJF).Methods The clinical data of 12 cases of GJF admitted between August 1970 and January 2006 were analyzed retrospectively.Results All of the 12 cases had case history of duodenal ulcer (DU) and gastronesteostomy. he main symptoms of GJF were diarrhoea(100%),faecal vomtiting/belching(83.3%) and weight loss(66.7%).The diagnostic rate of barium meal,gastroscopy,colonoscopy and barium enema was 33.3%(3/9),44.4%(4/9),85.7%(6/7),100%(11/11)respectively.Eleven cases were performed 1-stage operation.One case were performed 2-stage operation.Two cases died postoperatively.Conclusions Attention should be paid to those underwent gastronesteostomy for DU when diarrhoea,faecal vomtiting/belching and weight loss appeared.Colonoscopy and barium enema are two methods with higher diagnostic rate.