title: Enterocutaneous fistula: a review of 82 cases.
abstract: OBJECTIVE
  Enterocutaneous fistula is an unpleasant and troublesome complication of abdominal operations. The objective was to review the outcome of treatment of patients treated for enterocutaneous fistula.
  
  
  METHODS
  This is a retrospective study of 82 teenage and adult patients, who suffered from enterocutaneous fistula, seen over an 11 year period, in the University of Nigeria Teaching Hospital, Enugu. Patients' charts were reviewed for biodata, etiology of the fistula, volume of the fistula output, and result of treatment. Majority of the fistulas occurred after abdominal operations; many by general practitioners. After treatment for correction of fluid and electrolyte deficits, they were all tried on conservative therapy with enteral nutritional support as the main stay of management. Those, whose fistulas did not close, underwent surgical treatment. Total parenteral nutrition, octreotide, fibrin glue, and wound vacuum assisted closure (VAC) were not used for treating these patients.
  
  
  RESULTS
  Spontaneous healing of fistulas occurred in 26 patients (31.7%), whereas 42 patients out of 50 (84%) healed after definitive operation. Fourteen patients (17%) in this study, died.
  
  
  CONCLUSIONS
  Proper management of fluid and electrolyte imbalances, enteral nutritional support, control of sepsis and correctly timed surgical therapy, resulted in this good healing rate and acceptable mortality, without the use of parenteral nutrition, biologic fibrin glue injection or VAC. Suggestions are offered about steps that may help in eradicating some of these enterocutaneous fistulas.
authors.affiliation: Department of Surgery, University of Nigeria Teaching Hospital, Ituku Ozala, Enugu, Nigeria. iheanaeboagu24@yahoo.com
authors.forename: G E
authors.initials: GE
authors.lastname: Njeze
authors.forename: U J
authors.initials: UJ
authors.lastname: Achebe
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D017577:Cutaneous Fistula / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000601:surgery / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery / Q000628:therapy*; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome; D055815:Young Adult