[Results of duodenal non-formed lateral fistulas treatment]

Results of treatment of 66 patients with non-formed lateral fistulas of the duodenum by the methods of active external and double (external and internal) drainage of the fistula zone, and more rarely--by passive drainage or obturation were analyzed. Lethality of the patients was 35.4%. The lethality of the patients was shown to directly depend on the spreading of purulent complications of fistulas of the duodenum up to 87.5% with a combination of diffuse peritonitis and retroperitoneal phlegmon. The immediate causes of death of the patients with lateral fistulas of the duodenum were severe abdominal sepsis due to spacious purulent lesions of the abdominal cavity and retroperitoneal fat, more rarely--profuse erosive bleedings from the fistula zone.