Metabolic support of the enterocutaneous fistula patient

Clinics in Colon and Rectal Surgery
Joshua I S Bleier, Traci Hedrick


Enterocutaneous fistula (ECF) is a challenging clinical problem with many etiologies; however, the most common cause is iatrogenic, complicating abdominal surgery. Advances in the overall care of the ECF patient have resulted in dramatic reductions in morbidity and mortality over the last five decades. A structured approach to the management of ECF has been shown to result in improved outcomes. Initial physiologic stabilization of the postoperative patient, focused on hemodynamic and fluid support as well as aggressive sepsis control are the critical initial maneuvers. Subsequent optimization of nutrition and wound care allows the patient to regain a positive nitrogen balance, and allow for healing. Judicious use of antimotility agents as well as advanced wound care techniques helps to maximize healing as well as quality of life, and prepare patients for subsequent definitive surgery.


May 5, 1999·World Journal of Surgery·Stanley J DudrickA A McKelvey
Apr 29, 2000·World Journal of Surgery·C AlvarezH A Reber
Aug 31, 2001·JAMA : the Journal of the American Medical Association·D K HeylandU Suchner
Aug 2, 2002·Postgraduate Medical Journal·C CroK R Gardiner
Aug 1, 1964·American Journal of Surgery·R CHAPMANJ E DUNPHY
Jun 29, 2006·The British Journal of Surgery·D A J LloydA C J Windsor
Oct 3, 2006·Surgery·John M DrausGerald M Larson
Nov 7, 2006·Surgical Infections·Traci L HedrickRobert G Sawyer
Nov 24, 2006·Annals of Plastic Surgery·Laura A GunnDetlev Erdmann
Jan 2, 2007·Journal of Clinical Gastroenterology·Alexandre R MarraDonald F Kirby
Sep 28, 2007·World Journal of Surgery·Daniel Edgardo WainsteinDario Berkowski
Dec 26, 2007·Critical Care Medicine·R Phillip DellingerWorld Federation of Societies of Intensive and Critical Care Medicine
Jan 5, 2008·World Journal of Surgery·R G J VisschersW G van Gemert
Jul 4, 2008·JPEN. Journal of Parenteral and Enteral Nutrition·James D PaauwAlan T Davis
Jul 16, 2008·Intensive Care Medicine·Paul E Marik, Gary P Zaloga
Sep 3, 2008·The British Journal of Surgery·R G J VisschersW G van Gemert
Feb 14, 2009·The American Surgeon·Pedro G R TeixeiraDemetrios Demetriades
Mar 31, 2009·Current Problems in Surgery·Myles R Joyce, David W Dietz
May 7, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·M Isabel FielThomas D Schiano
Oct 6, 2009·Journal of the American College of Surgeons·William P SchecterStanley J Dudrick
Dec 26, 2009·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Joseph S SolomkinJohn G Bartlett


May 1, 2012·European Radiology·Liana Cambj SapunarNikica Družijanić
Oct 29, 2011·World Journal of Surgery·Travis M Polk, C William Schwab
Dec 3, 2014·Journal of Vascular and Interventional Radiology : JVIR·Feraz N Rahman, Joseph M Stavas
Jul 10, 2019·Diseases of the Colon and Rectum·Anuradha R Bhama
Dec 29, 2020·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Caroline CouperEzra Steiger

Related Concepts

Wound Healing
Operation on Abdominal Region
Enterocutaneous Fistula
Disease Management
Operative Surgical Procedures
Wound Care
Pharmacologic Substance
Aggressive Cancer

Trending Feeds


Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Alzheimer's Disease: MS4A

Variants within the membrane-spanning 4-domains subfamily A (MS4A) gene cluster have recently been implicated in Alzheimer's disease in genome-wide association studies. Here is the latest research on Alzheimer's disease and MS4A.

Pediculosis pubis

Pediculosis pubis is a disease caused by a parasitic insect known as Pthirus pubis, which infests human pubic hair, as well as other areas with hair including eye lashes. Here is the latest research.

Rh Isoimmunization

Rh isoimmunization is a potentially preventable condition that occasionally is associated with significant perinatal morbidity or mortality. Discover the latest research on Rh Isoimmunization here.

Genetic Screens in iPSC-derived Brain Cells

Genetic screening is a critical tool that can be employed to define and understand gene function and interaction. This feed focuses on genetic screens conducted using induced pluripotent stem cell (iPSC)-derived brain cells. It also follows CRISPR-Cas9 approaches to generating genetic mutants as a means of understanding the effect of genetics on phenotype.

Enzyme Evolution

This feed focuses on molecular models of enzyme evolution and new approaches (such as adaptive laboratory evolution) to metabolic engineering of microorganisms. Here is the latest research.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Pharmacology of Proteinopathies

This feed focuses on the pharmacology of proteinopathies - diseases in which proteins abnormally aggregate (i.e. Alzheimer’s, Parkinson’s, etc.). Discover the latest research in this field with this feed.

Alignment-free Sequence Analysis Tools

Alignment-free sequence analyses have been applied to problems ranging from whole-genome phylogeny to the classification of protein families, identification of horizontally transferred genes, and detection of recombined sequences. Here is the latest research.

Related Papers

Clinics in Colon and Rectal Surgery
Jonathan B Lundy, Josef E Fischer
Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
P RavindranM J Solomon
The Nursing Clinics of North America
J A Marvin, L E Einfeldt
© 2021 Meta ULC. All rights reserved