검색어 입력폼

Small bowel fistula-Enterocutaneous fistula

저작시기 2007.01 |등록일 2007.01.05 한글파일한글 (hwp) | 3페이지 | 가격 500원

소개글

Small bowel fistula-Enterocutaneous fistula
정의
원인
증상
진단
치료

치료

목차

Small bowel fistula-Enterocutaneous fistula
정의
원인
증상
진단
치료

본문내용

Etiology
1. surgical misadventure
(anastomotic leakage, injury of the bowel or blood supply, laceration of the bowel by wire mesh or retention suture)
2. suction catheter, adjacent abscess, trauma에 의한 erosion
3. previous radiation therapy
4. intestinal obstruction
5. inflammatory bowel disease
6. mesenteric vascular disease
7. intra-abdominal sepsis
8. crohn disease에 의한 발생(<2%)


-Symptoms
Entero-enteral fistulas may have no symptoms, or depending on the segments of intestine that are connected, they can result in diarrhea, malabsorption of nutrients, and dehydration. Enterocutaneous fistulas cause leakage of intestinal contents through an opening in the skin.

-Diagnosis
erythematous wound를 가진 post op. 환자에서 skin suture를 제거했을 EO purulent or bloody discharge가 noted(immediately or 1~2days)
nonabsorbable marker(charcoal, Congo red, water soluble contrast medium)의 oral administration->confirm
generalized peritonitis

참고 자료

사비스톤
슈바르츠
다운로드 맨위로