Clinical analysis of 36 patients with short bowel syndrome and intestinal fistula

Abstract

Objective To investigate the clinical characteristics and treatment of short bowel syndrome(SBS)complicated with intestinal fistula. Methods The causes, locations, surgery therapy and intestinal rhabilitation therapy of intestinal fistula were retrospectively analyzed in collected enteric fistula patients with small bowel length less than 105 cm from January 2008 to December 2015. Results Twenty-three patients were treated successfully, four patients died and nine patients gave up treatment among the 36 enteric patients.The mean length of residual small bowel was (61.05±28.60)cm.Enteral nutrition(EN)were restored in 31 patients, among whom ten patients with average residual small bowel length (53.30±31.60)cm did not receive intestinal rehabilitation therapy and EN was restored in (131.50±91.20)days; twenty-one patients with average residual small bowel length (63.60±20.50)cm received intestinal rehabilitation therapy and EN was restored in (60.10±49.80)days. Conclusions The main cause of enteric fistula is small intestine volvulus and fistula site located mianly at intestinal anastomosis.The main reason of enteric fistula is that necrotic margin can not be decided clearly. Early use of somatostatin can rduce gastrointestinal fluid and alleviate the symptoms of diarrhea. Subsequent use of somatotropin can promote the spontaneous close of enteric fistula and the adaption of intestinal epithelium both in function and structure. Key words: Short bowel syndrome; Enteric fistula; Rehabilitative; Enteral nutrition