Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Clinical Findings and Interventional Treatment of Gastrointestinal Fistulae: Pictorial Essay

위장관 누공의 임상적 특징 및 인터벤션 치료: 임상화보

  • Kim, Hyun Young (Department of Radiology, College of Medicine, Kyung Hee University) ;
  • Yoon, Jehong (Department of Radiology, College of Medicine, Kyung Hee University) ;
  • Kwon, Se Hwan (Department of Radiology, College of Medicine, Kyung Hee University) ;
  • Oh, Ji Young (Department of Radiology, Kyung Hee University Hospital at Gangdong) ;
  • Oh, Joo Hyeong (Department of Radiology, College of Medicine, Kyung Hee University)
  • 김현영 (경희대학교 의과대학 영상의학교실) ;
  • 윤제홍 (경희대학교 의과대학 영상의학교실) ;
  • 권세환 (경희대학교 의과대학 영상의학교실) ;
  • 오지영 (강동경희대학교병원 영상의학과) ;
  • 오주형 (경희대학교 의과대학 영상의학교실)
  • Received : 2017.03.14
  • Accepted : 2017.06.30
  • Published : 2018.01.01
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Abstract

Gastrointestinal (GI) fistulae are defined as an abnormal communication between the gastrointestinal tract and the skin and/or the epithelial surface of an adjacent viscus. GI fistulae are the most feared complications caused by a variety of medical conditions including abdominal surgery, inflammatory bowel disease, abscess, radiation, or trauma. The management of GI fistulae is complex and requires a detailed, stepwise approach to achieve successful closure. The ultimate goal of management is to re-establish the continuity of the GI tract, while limiting the morbidity and mortality. Interventional radiology can play an important role in the diagnosis and treatment of GI fistulae. In this article, we review the clinical and radiologic features and interventional treatment of GI fistulae.

위장관 누공(gastrointestinal fistulae)은 위장관끼리 또는 위장관-피부 혹은 위장관과 주변 내장기관의 상피 사이의 비정상적인 연결통로로 정의한다. 위장관 누공은 복부 수술, 염증성 장질환, 농양, 방사선 치료나 외상에 의하여 생길 수 있는 다양한 의학적 상황에 의해 발생한다. 위장관 누공의 관리는 복잡하며 정교하고 단계적인 접근을 통해서 성공적인 폐색을 유도할 수 있다. 위장관 누공을 관리하는 최종적인 목표는 위장관 연결성을 재건하고 이환율과 사망률을 감소시키는 것이다. 인터벤션 영상의학은 위장관 누공을 진단하고 치료하는 데 중요한 역할을 한다. 본 논문을 통해 저자들은 위장관 누공의 임상적, 영상의학적 특징과 인터벤션을 이용한 치료방법에 대해 살펴보고자 한다.

Keywords

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