Dr Kamlesh U. Gohil, Madhukar Rajaram Wagh, Rahul Babubhai Parmar

A COMPREHENSIVE ANALYSIS OF ENTERO-CUTANEOUS FISTULAS

Save to CiteDrive Show PDF

An enterocutaneous stula (ECF) is an abnormal communication between the small or large bowel and the skin. It is one of the serious complications of gastrointestinal surgery and has a mortality rate of up to 20%. Management involves dealing with malnutrition, sepsis, metabolic derangement and electrolyte imbalance. Surgery accounts for majority of cause for ECF. Anatomical origin, length of tract, bowel wall defect, others like sepsis, malnutrition, malignancy, serum albumin are factors that inuence spontaneous closure. The importance of nutrition cannot be overemphasized. Denitive surgery is required in: no spontaneous closure after 4-6weeks of conservative, complex stula anatomy, including intra-abdominal abscess, distal bowel obstruction, bowel defect >1cm diameter, stula tract length <2cm.

Need a simple solution for managing your BibTeX entries? Explore CiteDrive!

  • Web-based, modern reference management
  • Collaborate and share with fellow researchers
  • Integration with Overleaf
  • Comprehensive BibTeX/BibLaTeX support
  • Save articles and websites directly from your browser
  • Search for new articles from a database of tens of millions of references
Try out CiteDrive

More from our Archive