» Articles » PMID: 27247538

Enterocutaneous Fistula: Proven Strategies and Updates

Overview
Date 2016 Jun 2
PMID 27247538
Citations 35
Authors
Affiliations
Soon will be listed here.
Abstract

Management of enterocutaneous fistula represents one of the most protracted and difficult problems in colorectal surgery with substantial morbidity and mortality rates. This article summarizes the current classification systems and successful management protocols, provides an in-depth review of fluid resuscitation, sepsis control, nutrition management, medication management of output quantity, wound care, nonoperative intervention measures, operative timeline, and considerations, and discusses special considerations such as inflammatory bowel disease and enteroatmospheric fistula.

Citing Articles

Endoscopic suture-based closure of an enterocutaneous fistula after one-anastomosis gastric bypass.

Rebnegger P, Gantschnigg A, Grechenig M, Emmanuel K, Holzinger J, Singhartinger F Endoscopy. 2025; 57(S 01):E15-E16.

PMID: 39809293 PMC: 11732367. DOI: 10.1055/a-2503-5984.


Management of Lumbar Abscess Secondary to Colocutaneous Fistula From Complicated Diverticular Disease Using Negative Pressure Therapy.

Xicohtencatl S, Durango D, Damacio R, Cabrera D Cureus. 2024; 16(11):e73871.

PMID: 39697924 PMC: 11652681. DOI: 10.7759/cureus.73871.


Development a risk prediction nomogram for multidrug-resistant bacterial and fungal infection in gastrointestinal fistula patients during the perioperative period.

Yin M, Zheng H, Xu L, Jin R, Wang X, Man Y Front Cell Infect Microbiol. 2024; 14:1502529.

PMID: 39669267 PMC: 11634796. DOI: 10.3389/fcimb.2024.1502529.


What do we know about micronutrients in critically ill patients? A narrative review.

de Man A, Stoppe C, Stoppe C, Koekkoek W, Koekkoek K, Briassoulis G JPEN J Parenter Enteral Nutr. 2024; 49(1):33-58.

PMID: 39555865 PMC: 11717498. DOI: 10.1002/jpen.2700.


Challenges and Triumphs in Enterocutaneous Fistula Management: A Case Report of Complex Surgical Intervention and Multidisciplinary Care.

C G A, Sholapur S, Bhagvat S, Barnwal A, Chhowala M Cureus. 2024; 16(8):e67743.

PMID: 39318942 PMC: 11421878. DOI: 10.7759/cureus.67743.


References
1.
Ruiz-Lopez M, Carrasco Campos J, Sanchez Perez B, Gonzalez Sanchez A, Aguilar J, Bondia Navarro J . [Negative pressure therapy in wounds with enteric fistulas]. Cir Esp. 2009; 86(1):29-32. DOI: 10.1016/j.ciresp.2009.01.029. View

2.
Martinez J, Luque-de-Leon E, Ballinas-Oseguera G, Mendez J, Juarez-Oropeza M, Roman-Ramos R . Factors predictive of recurrence and mortality after surgical repair of enterocutaneous fistula. J Gastrointest Surg. 2011; 16(1):156-63. DOI: 10.1007/s11605-011-1703-7. View

3.
Scott N, Finnegan S, Irving M . Octreotide and postoperative enterocutaneous fistulae: a controlled prospective study. Acta Gastroenterol Belg. 1993; 56(3-4):266-70. View

4.
Levy E, Frileux P, Cugnenc P, Honiger J, Ollivier J, Parc R . High-output external fistulae of the small bowel: management with continuous enteral nutrition. Br J Surg. 1989; 76(7):676-9. DOI: 10.1002/bjs.1800760708. View

5.
Lu C, Wu D, Wu I, Chu K, Sun L, Shih Y . Serum albumin level in the management of postoperative enteric fistula for gastrointestinal cancer patients. J Invest Surg. 2008; 21(1):25-32. DOI: 10.1080/08941930701833959. View