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Issue: Vol. 561 No. 3 (2026)
Section: Các bài báo
DOI: 10.51298/vmj.v561i3.18598
Date Published: 11/08/2026
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Downloads 33
How to Cite
Thái, N. H., Phan, V. C., & Thái, D. A. (2026). THE CLINICAL AND PARACLINICAL CHARACTERISTIC OF GASTROINTESTINAL FISTULAS AND THE RESULTS OF GASTROINTESTINAL FISTULAS TREATMENT. Vietnam Medical Journal, 561(3). https://doi.org/10.51298/vmj.v561i3.18598

THE CLINICAL AND PARACLINICAL CHARACTERISTIC OF GASTROINTESTINAL FISTULAS AND THE RESULTS OF GASTROINTESTINAL FISTULAS TREATMENT

Nguyên Hưng Thái1, , Văn Cương Phan2, Diệp Anh Thái3
1 Bệnh viên K
2 Bộ môn Ngoại, Trường Đại Học Y Dược Thái Bình
3 Trường Đại hoc Y Hà Nội

Main Article Content

Abstract

Aim of study: Evaluate the clinical and paraclinical characteristic of gastrointestinal fistulas also characteristic of  gastrointestinal fistulas groups.Results of medical, intervention and surgical treatment for gastrointestinal fistulas


Results: 46 patients, men 63,0%, women 37,0%; Mean age 60,8±12,94. Clinical features: Abdominal pain in 93,4%; Fever in 82,6%; intra abdominal absceses in 43,5%, bstruction in 15,2%. CTScan revealed intra abdominal absceses in 43,5%; Xray revealed air-liqid level in 15,2%. Pus culture positive in 21,7%. Small volume fistulas  in 38,9%, Moderate in 55,6%; High in 5,5%. Upper gastrointestinal fistulas in 88,9%; Lower 11,1%. Post operated fistulas in 78,3%; Spontanous fistulas in 21,7%. Medical treatment in 38,9%, Intervention in  22,2%; Surgical in 38,9%. The average of hospital stay was  21± 12,04 day.


Conclusion: The prevalence postoperated fistulas in 78,3%. The most complicated treatment were esophago-jejunal fistulas and gastrojejunal anastomosis fistulas with long hospital stay and high morbility. Medical and intervention treatment was  more successful in duodenal stump fistulas (90,9%) and fistulas of duodeno-duodenal anastomosis (100%) with short hospital stay (14±6,16 vs14,0± 4,90).

Keywords

Gastrointestinal fistula

Article Details

References

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