Medical Management of the High-Output Enterostomy and Enterocutaneous Fistula



Medical management of the high-output enterostomy or enterocutaneous fistula (ECF) requires an understanding of mechanisms behind the malabsorption associated with short bowel syndrome (SBS) and intestinal failure (IF). A traditional definition of SBS is <200 cm of remaining viable jejunum and ileum following surgical resection for disease, trauma, infarction, or congenital defect. A more functional definition involves consideration of the quality of the bowel in continuity and the clinical status of the patient, both of which may further interfere with absorptive capacity of the bowel. A thorough examination of remaining functional and structural anatomy can reveal potential causes of persistent malabsorption.


Small Bowel Parenteral Nutrition Short Bowel Syndrome Oral Rehydration Solution Enterocutaneous Fistula 
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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Intestinal Rehabilitation and Transplant Nutrition, Digestive Disease InstituteCleveland Clinic FoundationClevelandUSA
  2. 2.Division of Gastroenterology, Hepatology and Nutrition, Vanderbilt Center for Human NutritionVanderbilt University Medical CenterNashvilleUSA

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