Definitive Surgical Treatment of Enterocutaneous Fistula

The Importance of Abdominal Wall Closure After Definitive Surgery for Enterocutaneous Fistula

“…In our study, ECF recurred in 16% (6 of 37 patients) when abdominal wall closure was feasible, compared to 43% (33 of 77 patients) when this was not performed. This is similar to the results reported by Owen et al [14] who described a recurrence rate of 16% and 33% respectively. They also found that closure of the abdominal wall represents an independent protective factor against fistula recurrence.…”

Bridging-to-Surgery in Patients with Type 2 Intestinal Failure

“…Of all patients who completed the 2-year follow-up period and were still alive, 94% percent had reached enteral autonomy (independent on parenteral nutrition or parenteral fluids) anymore. This is comparable with other series in literature 4,12,24 , although we managed the majority of patients at home during PN dependency. The number of catheter-related complications in our cohort was relatively high as expected by the relatively unstable group of patients compared with, for example, type 3 IF patients.…”

Outcome of acute intestinal failure

“…Despite advances in care and surgical technique, high rates of postoperative morbidity are still described. The postoperative in‐hospital mortality rate here is comparable to the rates of 2–5 per cent reported previously. The recurrent fistula rate was also comparable to published rates of 11–30 per cent.…”

“…Reconstructive surgery was associated with considerable morbidity. Despite advances in care and surgical technique, high rates of postoperative morbidity are still described. The postoperative in‐hospital mortality rate here is comparable to the rates of 2–5 per cent reported previously.…”