Vacuum-Assisted Closure for Cutaneous Gastrointestinal Fistula Management

Alvarez, Angeles A.; Maxwell, G. Larry; Rodriguez, Gustavo C.

doi:10.1006/gyno.2000.6092

Cited by 56 publications

(25 citation statements)

References 4 publications

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“…3, 4). While several authors have published small series on the use of VAC devices to protect the skin, promote contracture of the wound, or close the fistula [2,27,[36][37][38], concern has arisen that these devices can actually bring about the development of recurrent ECF with increased associated mortality [6,39,40]. Additionally, in a series scrutinizing the use of VAC devices as temporary abdominal closures in patients undergoing damage control laparotomy, Bee et al found that, although not statistically significant, fistula formation was greater in the group managed with VAC than with polyglactin mesh [41].…”

Section: Electrolytes and Nutritionmentioning

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: Electrolytes and Nutritionmentioning

confidence: 99%

Enterocutaneous Fistulas: A Look at Causes and Management

2014

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“…28 Vacuum-assisted closure (VAC) is helpful in terms of reducing the fluid outflow and for better wound healing . 29,30 The recently reported percutaneous transhepatic duodenal diversion seems to have good results in the management of duodenal fistulas, but needs further evaluation. 31 If a duodenal fistula does not heal after 4-6 weeks of optimum medical management, it is unlikely to close without surgical intervention.…”

Section: Discussionmentioning

confidence: 98%

Biliogastric Diversion for the Management of High-Output Duodenal Fistula: Report of Two Cases and Literature Review

Milias

Deligiannidis

Papavramidis

et al. 2009

Journal of Gastrointestinal Surgery

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High-output duodenal fistula occurs as a result of a duodenal wall defect caused by gastroduodenal surgery, endoscopic sphincterotomy, duodenal injury, and tumors with high morbidity and mortality rate. A new technique for its management is reported along with literature review. This procedure consists of transection of the duodenum 2 cm distally to the pylorus, transection of the common bile duct, and end duodenostomy with or without suturing the duodenal wall defect. The continuity of the alimentary tract is reinstated by an end-to-end duodenojejunostomy, end-to-side choledochojejunostomy, and end-to-side Roux-en-Y jejunojejunostomy, obtaining biliogastric diversion from the duodenum and closure of the fistula. This technique was performed in two patients with excellent results.

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“…Development is more frequent after emergency surgery when the patient preparation is poor or in the chronically debilitated, malnourished patient [1]. Causes include disruption of the anastomotic suture line, unintentional enterotomy, or inadvertent small bowel injury at time of closure [1].…”

Section: Discussionmentioning

confidence: 99%

“…A feared complication accompanied by intraabdominal abscesses and sepsis with a morality rate of 6.5 to 21% [1]. Most common postoperatively after inflammatory bowel disease, cancer, or lysis of adhesions.…”

Section: Introductionmentioning

confidence: 99%

Enterocutaneous Fistula – A Case Report

Madan¹,

Nischal²,

S³

et al. 2013

jemds

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Enterocutaneous fistulas most commonly develop as a post operative complication of bowel surgery, though in 15% to 20% of cases fistulas occur spontaneously. Development is more frequent after emergency surgery when the patient preparation is poor or in the chronically debilitated, mal nourished patient. Here we report a case of enterocutaneous fistula involving both large bowel and small bowel developed as a post operative complication of adhesiolysis with resection and anastomosis of small bowel for acute intestinal obstruction.

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Vacuum-Assisted Closure for Cutaneous Gastrointestinal Fistula Management

Cited by 56 publications

References 4 publications

Enterocutaneous Fistulas: A Look at Causes and Management

Enterocutaneous Fistulas: A Look at Causes and Management

Biliogastric Diversion for the Management of High-Output Duodenal Fistula: Report of Two Cases and Literature Review

Enterocutaneous Fistula – A Case Report

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