Small bowel fistulas.
The treatment of small bowel fistulas remains a difficult problem. Spontaneous closure rates of 30% are currently being achieved after 4 to 6 weeks of conservative therapy with bowel rest, TPN, octreotide, and control of sepsis. Resection of the fistulous bowel is warranted if fistula closure has not occurred by 4 to 6 weeks.
Tassiopoulos
A K
AK
Department of Surgery, State University of New York Health Science Center, Syracuse, USA.
Baum
G
G
Halverson
J D
JD
D004750:Enteral Nutrition; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D010289:Parenteral Nutrition, Total