Abstract
Enterocutaneous fistula (ECF) is defined as an abnormal communication between the small intestinal lumen and skin. Most ECFs develop after an operation for inflammatory bowel disease, malignancy, small bowel obstruction, severe adhesions, or radiation enteritis. Appropriate metabolic and nutritional support is vital to achieve spontaneous fistula closure. If closure does not occur within 4–6 months, then the fistula and diseased segment of bowel must be resected; anastomosis is the preferred technique. In all cases, multispecialty care is necessary to ensure closure with low morbidity and mortality.
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References
Evenson AR, Fischer JE. Current management of enterocutaneous fistula. J Gastrointest Surg. 2006;10:455–64.
Campos AC, Andrade DF, Campos GM, Matias JE, Coelho JC. A multivariate model to determine prognostic factors in gastrointestinal fistulas. J Am Coll Surg. 1999;188:483–90.
Remzi FH, Fazio VW. Enterocutaneous fistula. In: Bland KI, Sarr MG, Buchler MW, Csendes A, Garden OJ, Wong J, editors. General surgery: principles and international practice. 2nd ed. London: Springer; 2009. p. 649–59.
Fazio VW. Intestinal fistulas. In: Keighley MRB, Pemberton JH, Fazio VW, et al., editors. Atlas of colorectal surgery. New York: Churchill Livingstone; 1996. p. 363–77.
Lloyd DA, Gabe SM, Windsor AC. Nutrition and management of enterocutaneous fistula. Br J Surg. 2006;93:1045–55.
Becker HP, Willms A, Schwab R. Small bowel fistulas and the open abdomen. Scand J Surg. 2007;96:263–71.
Lynch CA, Delaney CP, Senagore AJ, Connor JT, Remzi FH, Fazio VW. Clinical outcome and factors predictive of recurrence after enterocutaneous fistula surgery. Ann Surg. 2004;240:825–31.
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Kirat, H.T., Remzi, F.H. (2012). Enterocutaneous Fistula. In: Fazio, V., Church, J., Wu, J. (eds) Atlas of Intestinal Stomas. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-78851-7_19
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DOI: https://doi.org/10.1007/978-0-387-78851-7_19
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