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

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...

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Published inFrontiers in surgery Vol. 8; p. 675585
Main Authors Tan, Shuilian, Yu, Xiaoling, Cheng, Zhigang, Zhang, Jing, Yu, Jie, Liu, Fangyi, Gao, Yuanjin, Linghu, Runze, Han, Zhiyu, Liang, Ping
Format Journal Article
LanguageEnglish
Published Frontiers Media S.A 19.11.2021
Subjects
abdominopelvic
intestinal fistulas
Surgery
surgical
treatment exploration
ultrasound-guided microwave ablation
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Summary: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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Edited by: Shang Yu Wang, Linkou Chang Gung Memorial Hospital, Taiwan
This article was submitted to Visceral Surgery, a section of the journal Frontiers in Surgery
Reviewed by: Atil Çakmak, Ankara University, Turkey; Kenan Yusif-zade, Independent Researcher, Baku, Azerbaijan
These authors have contributed equally to this work
ISSN:2296-875X
2296-875X
DOI:10.3389/fsurg.2021.675585