Surgical management of enterocutaneous fistula.

Korean Journal of Radiology : Official Journal of the Korean Radiological Society
Suk-Hwan Lee

Abstract

Enterocutaneous (EC) fistula is an abnormal connection between the gastrointestinal (GI) tract and skin. The majority of EC fistulas result from surgery. About one third of fistulas close spontaneously with medical treatment and radiologic interventions. Surgical treatment should be reserved for use after sufficient time has passed from the previous laparotomy to allow lysis of the fibrous adhesion using full nutritional and medical treatment and until a complete understanding of the anatomy of the fistula has been achieved. The successful management of GI fistula requires a multi-disciplinary team approach including a gastroenterologist, interventional radiologist, enterostomal therapist, dietician, social worker and surgeons. With this coordinated approach, EC fistula can be controlled with acceptable morbidity and mortality.

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Sep 1, 2014·Langenbeck's Archives of Surgery·Giuseppe MalleoClaudio Bassi
Apr 19, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A MiskyC Bhan
Oct 1, 2017·Insights Into Imaging·Massimo Tonolini, Paolo Magistrelli

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