[Clinical variants and treatment of gastrointestinal fistulas]

The experience of 411 patients treatment, aged from 15 to 78 years with gastrointestinal tract fistulas are summarized. Depending on clinico-anatomical picture, fistulas are divided in 5 types. There were 110 (26.8%) patients with fistula type I, 36 (8.7%)--type II, 70 (17.03%)--type III, 29 (7.5%)--type IV, 66 (40.4%)--type V. Treatment policy was developed for each group. Necessity of urgent relaparotomy in patients with fistula type I, early relaparotomy in fistula type II, late relaparotomy and elective operations in fistula types III, IV and V were substantiated. At usage of this treatment 102 (24.8%) from 411 patients died.