
Journal Basic Info
- Impact Factor: 2.395**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Minimally Invasive Surgery
- Colon and Rectal Surgery
- Obstetrics Surgery
- Thoracic Surgery
- Ophthalmic Surgery
- Orthopaedic Surgery
- Transplant Surgery
- General Surgery
Abstract
Citation: Clin Surg. 2017;2(1):1435.Review Article | Open Access
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.
Keywords
Cite the article
Dumas RP, Moore SA, Sims CA. Enterocutaneous Fistula: Evidencebased Management. Clin Surg. 2017; 2: 1435.