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논문 기본 정보

자료유형
학술저널
저자정보
Hoon Hur (가톨릭대학교) Yeon Soo Lim (가톨릭대학교) Hae Myung Jeon (가톨릭대학교) Wook Kim (가톨릭대학교)
저널정보
대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.78 No.3
발행연도
2010.3
수록면
165 - 170 (6page)

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초록· 키워드

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Purpose: The aim of this study is to present cases of postoperative leakage after various types of gastrointestinal operations that were successfully managed with fluoroscopy-guided Foley catheter.
Methods: Fluoroscopy-guided Foley catheter insertion and drainage methods were performed in 13 leakage sites of 10 patients diagnosed as having leakage after gastrointestinal operations such as esophagectomy, gastrectomy and appendectomy. Under fluoroscopic guidance, a guide-wire was inserted into the leakage site where a Foley catheter was then introduced over the guide wire, inserted and ballooned.
Results: The median time for the procedures was 30 minutes (range: 20~260 minutes), with esophagus or stomach leakage sites requiring a longer procedure time than the appendiceal or duodenal stump. The indwelling Foley catheters were successfully removed after a median of 11 days (range: 8~44 days), and the opening of the enterocutaneous fistulas were spontaneously closed in eight out of 10 patients.
Conclusion: The application of this method showed good results and could be a useful method to manage leakage after gastrointestinal surgery, especially in patients with leakage from the stump of the duodenum or appendix.

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INTRODUCTION
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