First experience with the use of a collagen fistula plug to treat enterocutaneous fistulas.
This report describes the authors' first experiences with the use of the Biodesign Enterocutaneous Fistula Plug (EFP). Six patients presented with intraperitoneal abscess and associated chronic bowel fistulas. The fistulas were treated by delivering an EFP by using radiologic guidance. The EFP placement procedure was successfully performed in all patients. All fistulas were closed within 2 weeks. Fistula recurrence occurred in two patients (33%) at 9 and 12 months after the procedure. One recurrence was associated with an adverse reaction to chemotherapy. The other was associated with the silicone flange migrating out of the bowel lumen. The Biodesign EFP offers a promising new approach for the treatment of enterocutaneous fistulas.
San Diego Imaging, San Diego, California.
James W
JW
Lyon
Jason P
JP
Hodde
David
D
Hucks
Daniela I
DI
Changkuon
D020341:Absorbable Implants; D000368:Aged; D003094:Collagen; D019544:Equipment Failure Analysis; D006801:Humans; D007412:Intestinal Fistula / Q000000981:diagnostic imaging* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011474:Prosthesis Design; D015641:Radiography, Interventional / Q000379:methods*; D016896:Treatment Outcome
D003094:Collagen
EFP; Enterocutaneous Fistula Plug; SIS; small intestinal submucosa