Classification and Pathophysiology of Enterocutaneous Fistulas

Berry, Scott M.; Fischer, Josef E.

doi:10.1016/s0039-6109(05)70495-3

Cited by 214 publications

(198 citation statements)

References 34 publications

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“…Fistulas arising from the esophagus, duodenal stump after gastric resection, pancreaticobiliary tract, and jejunum are more likely to close without operative intervention. Additionally, those with long tracts and small enteric wall defects are associated with higher spontaneous closure rates [15]. In contrast, those associated with the stomach, the lateral wall of the duodenum, the ligament of Treitz, and the ileum are more likely to require surgical correction (Table 1).…”

Section: Classificationmentioning

confidence: 99%

Enterocutaneous Fistulas: A Look at Causes and Management

2014

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Despite advances in medical technology and surgical care, the management of enterocutaneous fistulas remains one of the most challenging problems faced by physicians. Success depends on an expert multidisciplinary team, access to long-term enteral and parenteral nutrition support, advanced wound care, optimal medical management and meticulous, methodical, surgical decision-making and technique. Management is complex and multiphasic. Improved survival rates for many morbid problems have resulted in a growing population of patients with increasingly complex fistulas. This article reviews the etiologies as well as classic and evolving management strategies for this problem.

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Section: Classificationmentioning

confidence: 99%

Enterocutaneous Fistulas: A Look at Causes and Management

2014

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“…Previous studies on ECF and PF reported that both ECF and PF were associated with longer hospital stay, but only ECF was linked to hospital mortality. 39,40 According to Berry et al (1996), 75-85% of gastrointestinal fistulas are due to bowel injury, inadvertent enterotomy and/or anastomotic leakage. 41 Valle et al (2016) reported that longer operating time and PCI were associated with an increased chance of ECF formation, with a greater number of bowel resections and enterotomies.…”

Section: Articlementioning

confidence: 99%

“…39,40 According to Berry et al (1996), 75-85% of gastrointestinal fistulas are due to bowel injury, inadvertent enterotomy and/or anastomotic leakage. 41 Valle et al (2016) reported that longer operating time and PCI were associated with an increased chance of ECF formation, with a greater number of bowel resections and enterotomies. 39 In addition, patients with ECF suffered from a greater number of complications, such as bleeding, pleural effusion, collection, and sepsis.…”

Section: Articlementioning

confidence: 99%

Treatment-related post-operative mortality after cytoreductive surgery and perioperative intraperitoneal chemotherapy

et al. 2017

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Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) has an established role in selected patients for the treatment of peritoneal surface malignancy. However, CRS/HIPEC is associated with increased risk of morbidity and mortality. The aim of this review was to identify risk factors for post-operative mortality in an attempt to improve patient outcomes post CRS/HIPEC. This is a retrospective study of prospectively collected data on 1019 patients who underwent CRS/HIPEC by the same surgical team at St George Hospital, Kogarah, Australia, between January 1996 and July 2016.During the 20-year time-period seventeen patients (1.67%) died postoperatively. A higher peritoneal cancer index (PCI), completeness of cytoreduction (CC) score, longer operative time and a volume of intra-operative transfusion were evident in the hospital mortality group and were significantly associated with postoperative mortality on univariate analysis. Postoperative complications including infection, bleeding, pneumonia, fistula, collection and pancreatic leak were also associated with post-operative mortality. The most common cause of death was sepsis (n=15, 88.2%).It is difficult to determine pre-operative factors that can be utilized as predictors of post-operative mortality, as the overall incidence of in-hospital mortality post CRS/HIPEC was very low on our unit. Nevertheless, a cascade of events and learning curve was displayed.

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“…(8) The type of ECF, as based on the output of the enteric contents, also determines the patient's health status and how the patient may respond to therapy. ECFs are usually classified into 3 categories, as follows [2] :…”

Section: Postoperative Causesmentioning

confidence: 99%

Proximal Loop Ileostomy-A Life Saving Approach in ComplicatedEnterocutaneous Fistulas

Kapoor¹

2014

IOSRJDMS

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Classification and Pathophysiology of Enterocutaneous Fistulas

Cited by 214 publications

References 34 publications

Enterocutaneous Fistulas: A Look at Causes and Management

Enterocutaneous Fistulas: A Look at Causes and Management

Treatment-related post-operative mortality after cytoreductive surgery and perioperative intraperitoneal chemotherapy

Proximal Loop Ileostomy-A Life Saving Approach in ComplicatedEnterocutaneous Fistulas

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