European Journal of Trauma and Emergency Surgery

, Volume 37, Issue 3, pp 251–258

Enterocutaneous fistulas: an overview

Authors

  • J. F. WhelanJr.
    • Department of SurgeryVirginia Commonwealth University
    • Department of SurgeryVirginia Commonwealth University
Review Article

DOI: 10.1007/s00068-011-0097-2

Cite this article as:
Whelan, J.F. & Ivatury, R.R. Eur J Trauma Emerg Surg (2011) 37: 251. doi:10.1007/s00068-011-0097-2

Abstract

Enterocutaneous fistulas remain a difficult management problem. The basis of management centers on the prevention and treatment of sepsis, control of fistula effluent, and fluid and nutritional support. Early surgery should be limited to abscess drainage and proximal defunctioning stoma formation. Definitive procedures for a persistent fistula are indicated in the late postoperative period, with resection of the fistula segment and reanastomosis of healthy bowel. Even more complex are the enteroatmospheric fistulas in the open abdomen. These enteric fistulas require the highest level of multidisciplinary approach for optimal outcomes.

Keywords

Enteric fistula Gastrointestinal fistula Enteroatmospheric fistula Bowel fistulas Open abdomen

Copyright information

© Springer-Verlag 2011