title: [Enterocutaneous fistula in the pediatric population. Clinical experience].
abstract: 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.
authors.affiliation: Profesor Titular del Curso de Cirugía UNAM y Jefe del Departamento de Cirugía. Hospital Pediátrico Moctezuma. Mexico, D.F.
authors.forename: Carlos
authors.initials: C
authors.lastname: Baeza Herrera
authors.forename: Luis Angel
authors.initials: LA
authors.lastname: Sanchez Fernández
authors.forename: Alejandra I
authors.initials: AI
authors.lastname: Ortiz Zúñiga
authors.forename: Salomón T
authors.initials: ST
authors.lastname: Domínguez Pérez
authors.forename: Heladio M
authors.initials: HM
authors.lastname: Nájera Garduño
authors.forename: Luis
authors.initials: L
authors.lastname: Velasco Soria
mesh_terms: 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