Enterocutaneous Fistula: Evidence-based Management

Ryan P Dumas, Sarah A Moore and Carrie A Sims

Department of Traumatology, Surgical Critical Care & Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, USA
Department of Surgery, Division of Traumatology, Surgical Critical Care & Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, USA

^*Correspondance to: Ryan P Dumas 

 PDF  Full Text DOI: 10.25107/2474-1647.1435

Abstract

The management of Enterocutaneous fistula (ECF) is a clinical skill that should be in the armamentarium of every general surgeon. Although definitive treatment frequently relies on surgical closure, pre-operative care and diligence is paramount to ensure a successful outcome. Care of these patients should focus on four keys phases. The first phase is characterized by appropriate recognition and resuscitation. During the second phase, a complete nutritional assessment and plan is undertaken. Radiographic evaluation during the third phase helps to define ECF anatomy. Finally, the fourth phase is characterized by definitive closure should the fistula fail to heal spontaneously. This review will focus on the key aspects that define each phase and help the general surgeon maximize chances for a positive outcome.

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Cite the article

Dumas RP, Moore SA, Sims CA. Enterocutaneous Fistula: Evidencebased Management. Clin Surg. 2017; 2: 1435.