胃结肠瘘诊断及治疗的研究进展
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摘要
胃结肠瘘是胃和结肠异常连通所致的解剖异常,是腹部疾病的少见并发症,临床表现呈现多样性,诊断较为困难。近年来,随着胃结肠瘘的病理生理研究及认识的不断深入,其治疗方式有了很大转变,早期非手术综合治疗取得了越来越重要的地位。本文就胃结肠瘘的流行病学、临床诊断及治疗等作一综述。
Gastrocolic fistula(GCF) is a pathologic communication between a segment of the colon and the stomach.It is also an uncommon complication of abdominal diseases.The various clinical presentations make the diagnosis difficult.Recently,with the further understanding of physiological on GCF,the therapeutic modalities have changed a lot over the years.Non-operative treatment occupies an important place.This article reviewes the clinical symptoms,diagnosis and treatment of GCF.
Gastrocolic fistula(GCF) is a pathologic communication between a segment of the colon and the stomach.It is also an uncommon complication of abdominal diseases.The various clinical presentations make the diagnosis difficult.Recently,with the further understanding of physiological on GCF,the therapeutic modalities have changed a lot over the years.Non-operative treatment occupies an important place.This article reviewes the clinical symptoms,diagnosis and treatment of GCF.
引文
[1] Chime C,Ravi M,Daniel M.Gastrocolic Fistula:A Rare Presentation of Colon Cancer[J].Case Rep Gastrointest Med,2018,2018:6958925.
[2] Vergara- Fernandez O,Gutierrez- Grobe Y,Lavenant- Borja M,et al.Gastrocolic fistula secondary to adenocarcinoma of the transverse colon:a case report[J].J Med Case Rep,2015,9:263.
[3] Stamatakos M,Karaiskos I,Pateras I,et al.Gastrocolic fistulae;From Haller till nowadays[J].Int J Surg,2012,10(3):129- 133.
[4] Forbes N,Al- Dabbagh R,Lovrics P,et al.Gastrocolic fistula:A shortcut through the gut[J].Can J Gastroenterol Hepatol,2016,2016:6379425.
[5] 郑乔阳,周帅,周宝峰,等.胃大部分切除术后胃结肠瘘1例[J].人民军医,2016,(11):1130.
[6] Povoa AA,Soares C,Esteves J,et al.Simultaneous gastric and colic laparoscopic adjustable gastric band migration.Complication of bariatric surgery[J].Obes Surg,2010,20(6):796- 800.
[7] Landisch RM,Colwell RC,Densmore JC.Infant gastrostomy outcomes:The cost of complications[J].J Pediatr Surg,2016,51(12):1976- 1982.
[8] Nayfe R,Ascha MS,Ismail M,et al.Gastrocolic Fistula as a Presentation of Concomitant Gastric and Colon Cancer in a Patient with a History of Metastatic Pancreatic Adenocarcinoma[J].J Gastrointestinal Cancer,2017,48():379- 381.
[9] Haller W,Zacharin M,Catto- Smith AG.Gastrocolic fistula:a cause of short stature and delayed puberty in an adolescent with chronic diarrhea[J].J Pediatr,2013,162(5):1071 - 1073.
[10] Kece C,Dalgic T,Nadir I,et al.Current Diagnosis and Management of Gastrojejunocolic Fistula[J].Case Rep Gastroenterol,2010,4(2):173- 177.
[11] Harkin S,Gananadha S.Gastrocolic fistula:a rare sequela of colonic adenocarcinoma[J].J Gastrointest Surg,2014,18(12):2230- 2231.
[12] Wang Q,Jin B,Ding Y.Gastrocolic fistula secondary to transverse colon cancer[J].J Coll Physicians Surg Pak,2014,24(Suppl 1):S16- 17.
[13] Diaconescu MR,Costea I,Glod M,et al.Gastrocolic fistulas.Review of three cases[J].Rev Med Chir Soc Med Nat Iasi,2006,110(4):899- 904.
[14] Zhou B,Li W.A case of gastrocolic fistula secondary to adenocarcinoma of the colon[J].Int J Surg Case Rep,2015,15:46- 49.
[15] Iida T,Akita H,Sasaki M,et al.Image of the month.Gastrocolic fistula associated with a gastric ulcer[J].Arch Surg,2008,143(6):609- 610.
[16] Kaminski M,Zietek Z,Starzynska T,et al.Diagnostic difficulties in gastrocolic fistulas as a complication of surgical management of peptic ulcer:case report[J].Ann Acad Med Stetin,2011,57(2):39- 42.
[17] Marschall J,Bigsby R,Nechala P.Gastrocolic fistulae as a consequence of benign gastric ulcer disease[J].Can J Gastroenterol,2003,17(7):441- 443.
[18] Sulbaran F,Andrade A,Sulbaran M,et al.Gastrocolic fistula.Diagnosis by endoscopy[J].GEN,1994,48(1):45- 49.
[19] Brown S,McHugh K,Ledermann S,et al.CT findings in gastrocolic fistula following percutaneous endoscopic gastrostomy[J].Pediatr Radiol,2007,37(2):229- 231.
[20] Winata LS,Kong CH,Thiruchelvam D.A case of a bleeding benign gastrocolic fistula in 2014[J].Int J Surg Case Rep,2014,5(12):948- 950.
[21] Parlak E,Disibeyaz S,Koksal AS,et al.A new approach to gastrointestinal fistula closure:endoloop and clips technique using double endoscope[J].Eur J Gastroenterol Hepatol,2012,24(4):464- 467.
[22] Monkemuller K,Peter S,Alkurdi B,et al.Endoscopic closure of a gastrocolic fistula using the over- the- scope- clip- system[J].World J Gastrointest Endosc,2013,5(8):402- 406.
[23] Murino A,Despott EJ,Vaizey C,et al.First report of endoscopic closure of a gastrocolic fistula using an over- the- scope clip system (with video)[J].Gastrointest Endosc,2012,75(4):893- 894.
[24] Goenka MK,Goenka U.Endotherapy of leaks and fistula[J].World J Gastrointest Endosc,2015,7(7):702- 713.
[25] Lim CH,Kim SW,Kim JS,et al.Successful palliation of a gastrocolic fistula secondary to gastric cancer by insertion of a covered colonic stent[J].Gastrointest Endosc,2011,73(6):1314- 1317.
[26] Fernandes C,Pinho R,Proenca L,et al.Palliation of a gastrocolic fistula secondary to colon cancer with a covered colonic stent using a simultaneous dual- scope approach[J].Tech Coloproctol,2015,19(6):367- 368.
[27] Marshall SF,Knud- Hansen J.Gastrojejunocolic and gastrocolic fistulas[J].Ann Surg,1957,145(5):770- 782.
[28] Aydin U,Yazici P,Ozutemiz O,et al.Outcomes in the management of gastrocolic fistulas:a single surgical unit′s experience[J].Turk J Gastroenterol,2008,19(3):152- 157.
[2] Vergara- Fernandez O,Gutierrez- Grobe Y,Lavenant- Borja M,et al.Gastrocolic fistula secondary to adenocarcinoma of the transverse colon:a case report[J].J Med Case Rep,2015,9:263.
[3] Stamatakos M,Karaiskos I,Pateras I,et al.Gastrocolic fistulae;From Haller till nowadays[J].Int J Surg,2012,10(3):129- 133.
[4] Forbes N,Al- Dabbagh R,Lovrics P,et al.Gastrocolic fistula:A shortcut through the gut[J].Can J Gastroenterol Hepatol,2016,2016:6379425.
[5] 郑乔阳,周帅,周宝峰,等.胃大部分切除术后胃结肠瘘1例[J].人民军医,2016,(11):1130.
[6] Povoa AA,Soares C,Esteves J,et al.Simultaneous gastric and colic laparoscopic adjustable gastric band migration.Complication of bariatric surgery[J].Obes Surg,2010,20(6):796- 800.
[7] Landisch RM,Colwell RC,Densmore JC.Infant gastrostomy outcomes:The cost of complications[J].J Pediatr Surg,2016,51(12):1976- 1982.
[8] Nayfe R,Ascha MS,Ismail M,et al.Gastrocolic Fistula as a Presentation of Concomitant Gastric and Colon Cancer in a Patient with a History of Metastatic Pancreatic Adenocarcinoma[J].J Gastrointestinal Cancer,2017,48():379- 381.
[9] Haller W,Zacharin M,Catto- Smith AG.Gastrocolic fistula:a cause of short stature and delayed puberty in an adolescent with chronic diarrhea[J].J Pediatr,2013,162(5):1071 - 1073.
[10] Kece C,Dalgic T,Nadir I,et al.Current Diagnosis and Management of Gastrojejunocolic Fistula[J].Case Rep Gastroenterol,2010,4(2):173- 177.
[11] Harkin S,Gananadha S.Gastrocolic fistula:a rare sequela of colonic adenocarcinoma[J].J Gastrointest Surg,2014,18(12):2230- 2231.
[12] Wang Q,Jin B,Ding Y.Gastrocolic fistula secondary to transverse colon cancer[J].J Coll Physicians Surg Pak,2014,24(Suppl 1):S16- 17.
[13] Diaconescu MR,Costea I,Glod M,et al.Gastrocolic fistulas.Review of three cases[J].Rev Med Chir Soc Med Nat Iasi,2006,110(4):899- 904.
[14] Zhou B,Li W.A case of gastrocolic fistula secondary to adenocarcinoma of the colon[J].Int J Surg Case Rep,2015,15:46- 49.
[15] Iida T,Akita H,Sasaki M,et al.Image of the month.Gastrocolic fistula associated with a gastric ulcer[J].Arch Surg,2008,143(6):609- 610.
[16] Kaminski M,Zietek Z,Starzynska T,et al.Diagnostic difficulties in gastrocolic fistulas as a complication of surgical management of peptic ulcer:case report[J].Ann Acad Med Stetin,2011,57(2):39- 42.
[17] Marschall J,Bigsby R,Nechala P.Gastrocolic fistulae as a consequence of benign gastric ulcer disease[J].Can J Gastroenterol,2003,17(7):441- 443.
[18] Sulbaran F,Andrade A,Sulbaran M,et al.Gastrocolic fistula.Diagnosis by endoscopy[J].GEN,1994,48(1):45- 49.
[19] Brown S,McHugh K,Ledermann S,et al.CT findings in gastrocolic fistula following percutaneous endoscopic gastrostomy[J].Pediatr Radiol,2007,37(2):229- 231.
[20] Winata LS,Kong CH,Thiruchelvam D.A case of a bleeding benign gastrocolic fistula in 2014[J].Int J Surg Case Rep,2014,5(12):948- 950.
[21] Parlak E,Disibeyaz S,Koksal AS,et al.A new approach to gastrointestinal fistula closure:endoloop and clips technique using double endoscope[J].Eur J Gastroenterol Hepatol,2012,24(4):464- 467.
[22] Monkemuller K,Peter S,Alkurdi B,et al.Endoscopic closure of a gastrocolic fistula using the over- the- scope- clip- system[J].World J Gastrointest Endosc,2013,5(8):402- 406.
[23] Murino A,Despott EJ,Vaizey C,et al.First report of endoscopic closure of a gastrocolic fistula using an over- the- scope clip system (with video)[J].Gastrointest Endosc,2012,75(4):893- 894.
[24] Goenka MK,Goenka U.Endotherapy of leaks and fistula[J].World J Gastrointest Endosc,2015,7(7):702- 713.
[25] Lim CH,Kim SW,Kim JS,et al.Successful palliation of a gastrocolic fistula secondary to gastric cancer by insertion of a covered colonic stent[J].Gastrointest Endosc,2011,73(6):1314- 1317.
[26] Fernandes C,Pinho R,Proenca L,et al.Palliation of a gastrocolic fistula secondary to colon cancer with a covered colonic stent using a simultaneous dual- scope approach[J].Tech Coloproctol,2015,19(6):367- 368.
[27] Marshall SF,Knud- Hansen J.Gastrojejunocolic and gastrocolic fistulas[J].Ann Surg,1957,145(5):770- 782.
[28] Aydin U,Yazici P,Ozutemiz O,et al.Outcomes in the management of gastrocolic fistulas:a single surgical unit′s experience[J].Turk J Gastroenterol,2008,19(3):152- 157.