Am. Menendez et al., POSTOPERATIVE FISTULAS IN THE UPPER GASTR OINTESTINAL-TRACT - A STUDYOF 37 CASES, Revista espanola de enfermedades digestivas, 85(4), 1994, pp. 257-259
We report a series of 37 patients with upper gastrointestinal fistulas
, from a total of 90 postoperative fistulas, treated in our Department
over a period of five years (1987-1991). 46% of these originated afte
r peptic ulcer surgery. Most patients (54%) required surgical interven
tion mainly due to the presence of major intraabdominal sepsis, and on
ly 12 (32.4%) had spontaneous fistula closure. Morbidity (59.4%) and m
ortality rates (32.4%) were high.