Management of enterocutaneous fistulas.

William P Schecter

Journal: The Surgical clinics of North America 2011;91(3):481-91

PMID: 21621692

Full Text on Elsevier Science View on PubMed

Abstract

Management of enterocutaneous fistulas (ECFs) involves (1) recognition and stabilization, (2) anatomic definition and decision, and (3) definitive operation. Phase 1 encompasses correction of fluid and electrolyte imbalance, skin protection, and nutritional support. Abdominal imaging defines the anatomy of the fistula in phase 2. ECFs that do not heal spontaneously require segmental resection of the bowel segment communicating with the fistula and restoration of intestinal continuity in phase 3. The enteroatmospheric fistula (EAF) is a malevolent condition requiring prolonged wound care and nutritional support. Complex abdominal wall reconstruction immediately following fistula resection is necessary for all EAFs.

Address: Department of Surgery, University of California, San Francisco, San Francisco General Hospital, 1001 Potrero Avenue, Ward 3A17, San Francisco, CA 94110, USA. [email protected]

DOI: 10.1016/j.suc.2011.02.004

Link outs

Free resources

Medical:

https://medlineplus.gov/aftersurgery.html

Subscription / membership required

Full Text Sources:

MeSH Terms: Cutaneous Fistula, Enteral Nutrition, Hormones, Humans, Intestinal Fistula, Octreotide, Postoperative Complications, Somatostatin, Wound Healing