Enterocutaneous Fistula

  • Hasan T. Kirat
  • Feza H. Remzi


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.


Short Bowel Syndrome Abscess Cavity Enterocutaneous Fistula Radiation Enteritis Definitive Repair 
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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Colorectal Surgery, Digestive Disease InstituteCleveland Clinic FoundationClevelandUSA

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