[Treatment of postoperative digestive fistulas by perfusion-aspiration]

The experience of the First Surgical Clinic from Tirgu-Mureş is described, concerning the treatment of postoperative digestive fistulae in a group of 13 patients. The fact is stressed that the occurrence of such fistulae is more frequent following gastrectomies with gastrojejunostomy, gastrectomies for neo-plastic lesions, extensive gastrectomies--as compared with total gastrectomies. The method I of Trémolières is used with a perfusion system in which a cathether is inserted in the drain tube avoiding the dilaceration of the local adherences. An element of prognosis is provided by the follow-up of the secretions pH, acidification indicating a positive evolution.