[Improvement strategies in the treatment of high small intestinal fistula]

The experience of treatment of 54 patients with external small intestinal fistula was summarized. The method of surgical treatment was choosen basing on estimation of the fistula localization, its occlusion possibility and in accordance with state of homeostasis. Early performance of operative intervention according to vital indications is necessary in presence of unformed fistula with massive and uncontrolled loss of intestinal contents. Application of rational surgical tactics and complex treatment of patients with high external small intestinal fistula have allowed to lower lethality from 30 to 19%.