慢性结肠炎的治疗及症状（Treatment and symptoms of chronic colitis）.docVIP

慢性结肠炎的治疗及症状（Treatment and symptoms of chronic colitis） The treatment of colon fistula Colonic fistula is a common surgical pathological state, for various reasons, the formation of abnormal passage between the gastrointestinal tract, intestines and other pathological pathways between hollow viscera or bowel and body surface, all belong to the category of intestinal fistula, if the colon is called colon fistula, fistula can be divided into external fistula and fistula two types of intestinal contents from in vitro were referred to as external fistula, fistula and other bowel or other hollow organs is called fistula. Colorectal cancer, inflammatory damage, perforation, adhesion and obstruction and torsion need surgical treatment, due to systemic and local causes mesangial injury and local infection and other factors lead to poor healing of anastomotic leakage, resulting in intestinal contents. The clinical report of intestinal fistula in anastomosis in the incidence rate of 5% ~ 10%. What tests do you need to have to diagnose a colonic fistula? 1. oral activated charcoal powder or injection of methylene blue from the tube, wound carbon powder or blue liquid, confirmed that intestinal fistula exists, according to oral or injection of drugs through the fistula orifice to discharge the required time, can also help determine the position of the internal orifice of fistula. 2. X-ray examination abdominal verticalposition plain film, visible subphrenic free gas increases, can also prove the possibility of intestinal fistula. (under the diaphragm after operation can save gas but the dregs of the old society, should be gradually reduced). 3. fistulography as fistula, via the fistula tube inserted into the injection of contrast agent, can help to understand the existence of intestinal fistula and location, size, direction and around the intestinal fistula. 4. barium enema examination will help to understand the location of the fistula, the size of the fistula and the obstructi