Treatment of High‐output Enterocutaneous Fistulas with a Vacuum‐compaction Device. A Ten‐year Experience

Wainstein, Daniel E.; Fernández, Ernesto; Gonzalez, D.; Chara, Osvaldo; Berkowski, Dario

doi:10.1007/s00268-008-9508-x

Cited by 16 publications

(37 citation statements)

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“…La formación de fístulas gastrointestinales (enterocutáneas o enteroatmosféricas) es la complicación más devastadora del AA y del CAT [120][121][122][123][124][125][126] (Fig. 44).…”

Section: Fístulas Gastrointestinalesunclassified

“…Una nutrida cantidad de comunicaciones hacen referencia a las fístulas enteroatmosféricas (FEa), tanto en la bibliografía nacional como en la extranjera 117,[119][120][121][122][123][124][125][126][127][128][129][130] . Llama la atención la gran variabilidad de conceptos referidos a las condiciones clínicas, a la metodología diagnóstica y la falta de uniformidad de criterios en el tratamiento.…”

Section: Fístulas Gastrointestinalesunclassified

“…Fístulas enteroatmósfericas: constituyen un subgrupo de fístulas enterocutáneas que se desarrollan en un abdomen abierto (D. Wainstein) [120][121][122][123][124][125][126] . Yu-hua Huang y cols.…”

Section: Fístulas Gastrointestinalesunclassified

“…Otra característica distintiva de este tipo de fístula es que no tienen trayecto intermedio 125,126 . Son de difícil manejo y raramente cierran en forma espontánea.…”

Section: Fístulas Gastrointestinalesunclassified

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Manejo Del Abdomen Abierto: Desde La Operación Inicial Al Cierre Definitivo

Latif¹

2017

Rev Argent Cirug

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“…La formación de fístulas gastrointestinales (enterocutáneas o enteroatmosféricas) es la complicación más devastadora del AA y del CAT [120][121][122][123][124][125][126] (Fig. 44).…”

Section: Fístulas Gastrointestinalesunclassified

“…Otra característica distintiva de este tipo de fístula es que no tienen trayecto intermedio 125,126 . Son de difícil manejo y raramente cierran en forma espontánea.…”

Section: Fístulas Gastrointestinalesunclassified

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Manejo Del Abdomen Abierto: Desde La Operación Inicial Al Cierre Definitivo

Latif¹

2017

Rev Argent Cirug

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“…Wainstein et al treated 91 patients using pressures as high as 600 mm Hg. 21 This led to active wound contracture and compression of the fistula orifice. In 41% patients, output was suppressed within 7 days, and in 57%, output was reduced below 500 mL/day.…”

Section: Protection Of Surrounding Skin and Soft Tissuementioning

confidence: 99%

Treatment Options in Gastrointestinal Cutaneous Fistulas

Ashkenazi

Turégano-Fuentes

Olsha

et al. 2017

Surg J

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Enterocutaneous fistulas occur most commonly following surgery. A minority of them is caused by a myriad of other etiologies including infection, malignancy, and radiation. While some fistulas may close spontaneously, most patients will eventually need surgery to resolve this pathology. Successful treatment entails adoption of various methods of treatment aimed at control of sepsis, protection of surrounding skin and soft tissue, control of fistula output, and maintenance of nutrition, with eventual spontaneous or surgical closure of the fistula. The aim of this article is to review the various treatment options in their appropriate context.

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High preoperative ratio of blood urea nitrogen to creatinine increased mortality in gastrointestinal cancer patients who developed postoperative enteric fistulas

Lin

Chen

et al. 2012

The Kaohsiung J of Med Scie

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Development of an enteric fistula after surgery is a major therapeutic complication. In this study, we retrospectively examined the potential relationship between preoperative laboratory data and patient mortality by collecting patient data from a tertiary medical center. We included patients who developed enteric fistulas after surgery for gastrointestinal (GI) cancer between January 2005 and December 2010. Patient demographics and data on preoperative and pre-parenteral nutritional statuses were compared between surviving and deceased patients. Logistic regression analysis and receiver operating characteristic (ROC) curves were used to determine the predictors and cut-off values, respectively. Patients with incomplete data and preoperative heart, lung, kidney, and liver diseases were excluded from the study; thus, out of 65 patients, 43 were enrolled. Logistic regression analysis showed that blood urea nitrogen-to-creatinine (BUN/Cr) ratio [p = 0.007; OR = 0.443, 95% confidence interval (CI), 0.245-0.802] was an independent predictor of mortality in patients who developed enteric fistulas after surgery for GI cancer. In conclusion, the results of our study showed that a high preoperative BUN/Cr ratio increases the risk of mortality in patients who develop enteric fistulas after surgery for GI cancer.

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Treatment of High‐output Enterocutaneous Fistulas with a Vacuum‐compaction Device. A Ten‐year Experience

Abstract: In the following article, we would like to bring your attention to an error in the Methods section where the inclusive dates of the study are reported to be 1985-2005. The study was actually performed between 1995-2005.

Cited by 16 publications

References 0 publications

Manejo Del Abdomen Abierto: Desde La Operación Inicial Al Cierre Definitivo

Manejo Del Abdomen Abierto: Desde La Operación Inicial Al Cierre Definitivo

Treatment Options in Gastrointestinal Cutaneous Fistulas

High preoperative ratio of blood urea nitrogen to creatinine increased mortality in gastrointestinal cancer patients who developed postoperative enteric fistulas

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