AUTHOR=Tan Shuilian , Yu Xiaoling , Cheng Zhigang , Zhang Jing , Yu Jie , Liu Fangyi , Gao Yuanjin , Linghu Runze , Han Zhiyu , Liang Ping 

TITLE=Cause Analysis and Diagnosis and Treatment of Intestinal Fistulas After Ultrasound-Guided Microwave Ablation of Abdominopelvic Lesions

JOURNAL=Frontiers in Surgery

VOLUME=8

YEAR=2021

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2021.675585

DOI=10.3389/fsurg.2021.675585

ISSN=2296-875X

ABSTRACT=<p><bold>Objective:</bold> To determine the cause and high-risk factors for the development of intestinal fistulas (IFs) after ultrasound-guided microwave ablation (MA) of abdominopelvic lesions, and to identify effective prophylactic and therapeutic actions.</p><p><bold>Methods:</bold> Clinical data were collected from patients with an IF after ultrasound-guided MA of abdominopelvic lesions in our hospital from January 1, 2010 to December 31, 2018. The cause, diagnosis, and treatment of IFs in these patients were analyzed.</p><p><bold>Results:</bold> Among 8,969 patients who underwent ultrasound-guided MA of abdominopelvic lesions, eight patients developed IF after MA, Seven patients were discharged after being cured and one died.</p><p><bold>Conclusion:</bold> Abdominopelvic lesions are close to the intestines, so histories of surgery, radiotherapy, and abdominopelvic infection are high-risk factors for IF development after MA of these lesions. Surgical treatment should be provided as soon as an IF is identified.</p>