Enterocutaneous Fistula: A Simplified Clinical Approach

Tuma, Faiz; Crespi, Zachary; Wolff, Chris J; Daniel, Drew T; Nassar, Aussama K.

doi:10.7759/cureus.7789

Cited by 19 publications

(40 citation statements)

References 30 publications

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“…The results showed that the AUC of each index was the largest, and the combined monitoring of PCDAI score and the expression of four indexes was of a great value to evaluate the nutritional status of children with CD. However, due to the immature immune system and digestive system of newborns and the influence of age, there are great differences in individual manifestations of infection and inflammation [ 18 ]. So, there were some children's detection indicators even in the normal range, which may cover up the condition.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Risk Factors and Nursing Intervention Measures Affecting Nutritional Status of Children with Crohn’s Disease

Chen

You

Zhao

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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In recent years, the incidence of Crohn’s disease (CD) in the Asia-Pacific region is gradually increasing, and the onset age is decreased at the same time. The relapse of illness and long course of disease easily lead to malnutrition, which will affect the treatment effect of the disease and even worsen the disease. Therefore, it is very important to find the risk factors affecting the nutritional status of children with CD and to carry out effective nursing intervention accordingly. In our study, a total of 180 children with CD who were admitted to our hospital from April 2017 to April 2020 were analyzed retrospectively. The multivariate analysis showed that Pediatric Crohn’s Disease Activity Index (PCDAI), platelet (PLT), hemoglobin (HB), hematocrit (HCT), and albumin (ALB) were independent risk factors affecting the nutritional status of children with CD. The results of AUC showed that combined monitoring of the PCDAI score and the expression of PLT, HB, HCT, and ALB indexes was of great value to evaluate the nutritional status of children with CD. Finally, a series of nursing intervention measures were proposed based on these results. It provides a theoretical basis for improving the nutritional status of children with CD and promoting the clinical outcome.

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Section: Discussionmentioning

confidence: 99%

Analysis of Risk Factors and Nursing Intervention Measures Affecting Nutritional Status of Children with Crohn’s Disease

Chen

You

Zhao

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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“…Historically, non-specific symptoms such as weakness, fever, chills, malaise, poor appetite, and malnutrition can be found. More specific symptoms of this type of fistula are wound discharge, diarrhea, and gastrointestinal (GI) bleeding [ 2 , 5 , 6 ]. From first case, the patient said that there was a discharge in the abdominal area which was sometimes painful.…”

Section: Clinical Discussionmentioning

confidence: 99%

“…The CT scan is very specific in their depiction of the anatomy of the fistula canal and often can exclude any abscess. CT scans can also help to plan the surgical intervention [ 2 , 5 , 6 ].…”

Section: Clinical Discussionmentioning

confidence: 99%

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Management of colocutaneus fistula with laparoscopic surgery: Case report

Nugroho

Soraya

Prawirohardjo

et al. 2021

Annals of Medicine and Surgery

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Background Colocutaneous fistulas can occur as the result of complications from diverticular colon surgery. Enterocutaneous fistula is a type of fistula that accounts for about 88.2% of all fistulas. In this report, we describe a case reports of the management of colocutaneous fistula with laparoscopic surgery. Case presentation In this case reports, both patients complained of increased amount of abdominal discharge after surgery. In Case 1, a 43-year-old female patient complained of a lump in her lower abdomen which had been there for three months. After removal of the lump, there was blood in the drainage tube. After three months, her surgeon advised to close the stoma. In Case 2, a 47-year-old male patient lived with colocutaneous fistula for a year. He had been involved in a traffic accident and underwent laparotomy sigmoidostomy. Both patients experienced pain, and there also were feces and bad odor coming out from the surgical incision. Then, both patients underwent colonoscopy, which revealed coloncutaneous fistulas. Laparoscopic surgery was conducted and there was adhesion between the sigmoid colon and ileum in the ventral abdomen wall. After the laparoscopic procedure, the patients were discharged 3 days later without any complaints. Conclusions Laparoscopic colectomy has recently replaced open resection as standard surgery. This procedure is safe, feasible, and effective for diverticular disease.

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“…Quin și colab. găsește că 89,1% din fistulele digestive externe sunt fistule postoperatorii, 6,8% fistule spontane și 3,99% fistule apărute după proceduri endoscopice [8,9]. Majoritatea autorilor se referă de regulă la incidența fistulelor enterocutanate postoperatorii; Jelena Wercka et al [10] dau o incidență a FEC postoperatorii de 5,5%, în timp ce Falconi și Pedrazzoli [11], analizând 120 studii clinic, dau următoarele date referitoare la incidența fistulelor enterocutanate postoperatorii în funcție de tipul operației primare: 0-45% după esofagectomia transhiatală și 1-2% după esofagectomia subtotală, 68% după închiderea perforației gastrice/duodenale cu patch de epiplon și 2-31% după chirurgia cancerului gastric, 1% după coledocojejunoanastomoză și până la 19% după coledoco-duodenoanastomoză, 0-7% (până la 19% după alți autori) după chirurgia colorectală și 3-36% după chirurgia pancreasului.…”

Section: Tabelul Iv-operația Primară șI Tipul Anastomozeiunclassified

Circumstanțe etiopatogenice, evaluare anatomo-clinică, factori de risc și de predicție în fistulele postoperatorii enterocutanate

Denicu¹

2021

Surgery

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Enterocutaneous Fistula: A Simplified Clinical Approach

Abstract: Tuma et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Cited by 19 publications

References 30 publications

Analysis of Risk Factors and Nursing Intervention Measures Affecting Nutritional Status of Children with Crohn’s Disease

Analysis of Risk Factors and Nursing Intervention Measures Affecting Nutritional Status of Children with Crohn’s Disease

Management of colocutaneus fistula with laparoscopic surgery: Case report

Circumstanțe etiopatogenice, evaluare anatomo-clinică, factori de risc și de predicție în fistulele postoperatorii enterocutanate

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