Frontiers in Surgery (Nov 2021)

Cause Analysis and Diagnosis and Treatment of Intestinal Fistulas After Ultrasound-Guided Microwave Ablation of Abdominopelvic Lesions

  • Shuilian Tan,
  • Xiaoling Yu,
  • Zhigang Cheng,
  • Jing Zhang,
  • Jie Yu,
  • Fangyi Liu,
  • Yuanjin Gao,
  • Runze Linghu,
  • Zhiyu Han,
  • Ping Liang

DOI
https://doi.org/10.3389/fsurg.2021.675585
Journal volume & issue
Vol. 8

Abstract

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Objective: To determine the cause and high-risk factors for the development of intestinal fistulas (IFs) after ultrasound-guided microwave ablation (MA) of abdominopelvic lesions, and to identify effective prophylactic and therapeutic actions.Methods: Clinical data were collected from patients with an IF after ultrasound-guided MA of abdominopelvic lesions in our hospital from January 1, 2010 to December 31, 2018. The cause, diagnosis, and treatment of IFs in these patients were analyzed.Results: Among 8,969 patients who underwent ultrasound-guided MA of abdominopelvic lesions, eight patients developed IF after MA, Seven patients were discharged after being cured and one died.Conclusion: Abdominopelvic lesions are close to the intestines, so histories of surgery, radiotherapy, and abdominopelvic infection are high-risk factors for IF development after MA of these lesions. Surgical treatment should be provided as soon as an IF is identified.

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