Clinical analysis of 25 cases of gastrointestinal fistula after surgery for gastric cancer

Abstract

Objective To explore the management of perioperative period on the effect of alimentary tract fistulas after gastric cancer operation. Methods The clinical data of 25 patients with alimentary tract fistulas after gastric cancer operation were reviewed.The location and time of alimentary tract fistulas, and perioperative period of patients were analyzed. Results Of the 25 patients, 13 cases(52.0%) were anastomotic fistulas, 1 case(4.0%) was bile fistula, 2 cases(8.0%) were pancreatic fistulas, 4 cases(16.0%) were small intestinal fistulas, and 3 case(12.0%) were duodenal stump fistulas, 1 case(4.0%) was anastomotic and duodenal stump fistula, 1 case(4.0%) was small intestinal and duodenal stump fistula.The alimentary tract fistulas generally occurred within the first or second week after gastric cancer operation.The incidence rate of gastrointestinal leakage was 64.0% in gastric cancer with diabetes patients, 56.0% in gastric cancer with elderly patients, 40.0% in gastric cancer with anemia patients, 36.0% in gastric cancer with hypoproteinemia patients, 16.0% in gastric cancer with multivisceral excisions.21 cases of gastrointestinal leakage were healed after conservative treatment.2 cases with gastrointestinal leakage by operation treatment were healed.2 patients died, one died of intra-abdominal hemorrhage, one case died of MODF. Conclusion Strengthening the management of patients with alimentary tract fistulas after gastric cancer operation can promote the healing of fistula in perioperative period. Key words: Digestive system fistula; Stomach neoplasms; Postoperative complications