消化器手術後難治性ろう孔に対するフィブリン糊による治療経験

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  • Fibrin Glue Closure of Postoperative Enterocutaneous Fistulas.

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We treated 17 patients with enterocutaneous fistulas present more than 14 days despite conservative treatment, including total parenteral nutrition, with fibrin glue injected into the fistula tract after sinography. The first injection closed 12 fistulas. The second injection closed 4 more. Fistulas with longer tracts were easier to close than those with shorter tracts. Fistulas with a daily output exceeding 100ml could be closed with this treatment.

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