Interet d'un nouveau moyen d'occlusion de trajets fistuleux. [The role of a new method for occlusion of fistula tracts]
Details
Serval ID
serval:BIB_89991D8B493C
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Interet d'un nouveau moyen d'occlusion de trajets fistuleux. [The role of a new method for occlusion of fistula tracts]
Journal
Helvetica Chirurgica Acta
ISSN
0018-0181 (Print)
Publication state
Published
Issued date
07/1991
Volume
58
Number
1-2
Pages
197-200
Notes
Case Reports
English Abstract
Journal Article --- Old month value: Jul
English Abstract
Journal Article --- Old month value: Jul
Abstract
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.
Keywords
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
Create date
28/01/2008 8:56
Last modification date
20/08/2019 14:48