Gastrointestinal fistula
Introduction
Introduction to gastrointestinal tract Gastrointestinal fistula is one of the serious complications of gastrointestinal surgery, due to trauma, surgical injury, severe abdominal infection, chronic intestinal inflammation and tumors. Clinically, it is divided into high and low sputum; high flow sputum and low flow sputum; tubular sputum and lip sputum. Trauma, surgical injury, severe abdominal infection, chronic intestinal inflammation and tumor damage. basic knowledge The proportion of illness: 0.003% Susceptible people: no special people Mode of infection: non-infectious Complications: septic shock respiratory failure
Cause
Gastrointestinal fistula
Trauma, surgical injury, severe abdominal infection, chronic intestinal inflammation and tumor damage.
Prevention
Gastrointestinal fistula prevention
1, adequate drainage early, control abdominal infection.
2. Maintain nutrition.
3, prevention and treatment of complications: strict monitoring of heart and lung function and monitoring of blood and electrolytes. Timely treatment should occur when complications such as septic shock, gastrointestinal bleeding, respiratory failure occur.
Complication
Gastrointestinal fistula complications Complications , septic shock, respiratory failure
There may be complications such as septic shock, massive gastrointestinal bleeding, and respiratory failure.
Symptom
Gastrointestinal fistula symptoms common symptoms peritonitis abscess dehydration abdominal infection bloating
1. The gastrointestinal contents flow out from the body surface wound (ie, the mouth), and the mouth can be cured for a long time.
2. Early manifestations of peritonitis or abdominal abscess, namely fever, bloating or localized tenderness, rebound tenderness, etc.
3. Dehydration, acidosis, and malnutrition can occur throughout the body.
4. The skin of the mouth may be erosive and infected.
Examine
Examination of gastrointestinal fistula
1. The inspection plan for general patients is based on the inspection frame.
2. For those with peritonitis, those with unknown etiology, or suspected gastrointestinal malignancies, the examination program may include a check box "A", "B" or "C".
Diagnosis
Diagnosis and differential diagnosis of gastrointestinal fistula
diagnosis
1. The body surface is self-sacral, and the contents of the gastrointestinal tract are discharged. 2. Oral dyes (usually used activated carbon or melamine liquid) can be discharged from the mouth. 3. Injecting contrast agent from the mouth can find the mouth and stomach. The intestines communicate with each other.
2. There are many cases of surgery, trauma or severe abdominal infection.
3. In the early stage, when the contents of the gastrointestinal tract are not worn through the abdominal wall and accumulate in the abdominal cavity, there is often a manifestation of abdominal infection. When the gastrointestinal tract is discharged from the wound and the abdominal drainage port, the gastrointestinal tract should be suspected. Further examination confirms the diagnosis, and the diagnosis can be confirmed once the gastrointestinal contents flow out from the incision and the drainage port.
4. When there is a suspected gastrointestinal fistula, oral activated carbon or dye can be taken and observed whether it overflows from the wound or the drainage port, and the location of the fistula is judged according to the length of the discharge time.
Differential diagnosis
It should be differentiated from other intra-abdominal infections.
