[Enterocutaneous fistula in the pediatric population. Clinical experience].
BACKGROUND
The presence of fistulous communications between the small bowel and the skin continues to be one of the most perplexing and challenging problems facing the surgeon today. Their occurrence is a major catastophe of surgical practice because are frequently a result of technical failure or errors in surgical judgement.
Thirty four patients with high-output enterocutaneous fistulae arising from the small intestine are reported. Fourteen were due to appendicitis and sixteen were infants. Fistula resection were performed in six patients. Spontaneous fistula closure occurred in twenty-eight. Six died. The treatment program included parenteral nutritition thorugh central venous line, local care and antibiotics.


CONCLUSIONS
In recent years, more aggressive therapy accompanied by the development of high caloric parenteral alimentation shows promise of reducing the mortality and morbidity rates associated with these fistulas.
Baeza Herrera
Carlos
C
Profesor Titular del Curso de Cirugía UNAM y Jefe del Departamento de Cirugía. Hospital Pediátrico Moctezuma. Mexico, D.F.
Sanchez Fernández
Luis Angel
LA
Ortiz Zúñiga
Alejandra I
AI
Domínguez Pérez
Salomón T
ST
Nájera Garduño
Heladio M
HM
Velasco Soria
Luis
L
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D017577:Cutaneous Fistula / Q000209:etiology / Q000401:mortality / Q000628:therapy; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007412:Intestinal Fistula / Q000209:etiology / Q000401:mortality / Q000628:therapy; D007421:Intestine, Small; D008297:Male; D008800:Mexico