Definitive Surgical Treatment of Enterocutaneous Fistula

Owen, Rachel M.; Love, Timothy P.; Perez, Sebastian D.; Srinivasan, Jahnavi K.; Sharma, Jyotirmay; Pollock, Jonathan; Haack, Carla; Sweeney, John F.; Galloway, John R.

doi:10.1001/2013.jamasurg.153

Cited by 78 publications

(76 citation statements)

References 19 publications

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“…A wellorganized management strategy utilizing of a multidisciplinary team approach is essential. A remarkable amount of time and labor along with intensive resource utilization yields closure rates ranging from 5 to 20 % without surgical intervention and 75-85 % with definitive operative treatment [2,3 • , 4, 5 [7][8][9][10][11]. The team members involved in the care of these complex patients include: general and reconstructive surgeons, nutritional support staff, bedside and enterostomal nursing, social workers, radiologists, internists, psychiatrists and physical therapists, among others [1].…”

Section: Introductionmentioning

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: Introductionmentioning

confidence: 99%

Enterocutaneous Fistulas: A Look at Causes and Management

2014

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“…Кан-шиным) или У-образный дренаж Чаффина [1]. Для защиты кожи от агрессивного воздействия кишеч-ного содержимого в комбинации с дренированием использовали антимикробные разрезаемые пленки [7,10,12].…”

Section: материал и методыunclassified

Surgical treatment of patients with enteric fistulae

Krieger¹,

Кубышкин²,

Берелавичус³

et al. 2015

Khir. Z. im. N.I. Pirogova

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“…1,3,9,10 However, more recent data suggest that the overall mortality rate is closer to 10%, and that there is a 4% 30-day mortality after an operation for an ECF. 4,11 Noninfectious complications are comprised of electrolyte imbalances, malnutrition, and skin excoriation. Patients with ECF are at high risk of infectious complications.…”

Section: Complicationsmentioning

confidence: 99%

The Complex Surgical Abdomen

Cohen

Horovitz

Kupfer

et al. 2015

J Intensive Care Med

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Intensivists are often called upon to help care for patients who develop severe sepsis syndrome and septic shock where the primary source is an enterocutaneous fistula (ECF). The purpose of this article is to describe to the nonsurgeon intensivist how these complex surgical situations arise in the first place and provide the reader with a detailed understanding of the potentially devastating complications of ECF. In addition, we will describe a structured algorithm regarding the management of this often highly challenging surgical situation.

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Definitive Surgical Treatment of Enterocutaneous Fistula

Cited by 78 publications

References 19 publications

Enterocutaneous Fistulas: A Look at Causes and Management

Enterocutaneous Fistulas: A Look at Causes and Management

Surgical treatment of patients with enteric fistulae

The Complex Surgical Abdomen

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