Interet d'un nouveau moyen d'occlusion de trajets fistuleux. [The role of a new method for occlusion of fistula tracts]

Détails

ID Serval
serval:BIB_89991D8B493C
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Interet d'un nouveau moyen d'occlusion de trajets fistuleux. [The role of a new method for occlusion of fistula tracts]
Périodique
Helvetica Chirurgica Acta
Auteur(s)
Givel  J. C., Sickenberg  M., Monnier  P.
ISSN
0018-0181 (Print)
Statut éditorial
Publié
Date de publication
07/1991
Volume
58
Numéro
1-2
Pages
197-200
Notes
Case Reports
English Abstract
Journal Article --- Old month value: Jul
Résumé
Digestive fistulae have a quite variable clinical presentation, depending on their origin and topography. Even when very small, they can cause considerable mechanical or metabolic derangement. Surgical correction often implies an operation with important consequences. The injection of an occlusive emulsion can, in a certain number of cases, close off the fistulous tract with minimal inconvenience. We have injected several invalidating fistulae between the digestive or respiratory tract and the skin with Ethibloc. Total occlusion of the fistulae was accomplished after one or more injections. The emulsion is resorbed after around 10 days, leaving a scar. The inclusion of radio-opaque material allows intraoperative control of injection. This technique widens the therapeutic modalities applicable to a difficult medical condition. When confronted with advanced inflammatory or neoplastic disease, for example, Ethnibloc injection can be considered if the tissue quality is sufficient. Gross infection or tissue necrosis are, in our experience, relative contraindications; the occlusive emulsion cannot adhere and is rapidly evacuated by the fistula.
Mots-clé
Aged *Diatrizoate Drug Combinations *Fatty Acids Fistula/*surgery Gastrointestinal Diseases/*surgery Humans Male Middle Aged Postoperative Complications/*surgery *Propylene Glycols *Proteins Reoperation *Zein
Pubmed
Web of science
Création de la notice
28/01/2008 9:56
Dernière modification de la notice
03/03/2018 19:08
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