title: A new technique of closing a gastroatmospheric fistula with a rectus abdominis muscle flap.
abstract: Proximal enteroatmospheric fistulae are difficult to manage and carry high mortality from sepsis and electrolyte imbalances. Conservative management with total parenteral nutrition, exclusion of fistula, resection and anastomosis are conventional methods of treatment with low success rate. Providing muscle cover to manage an enteroatmospheric fistula is a noble concept. A postoperative high-output gastroatmospheric fistula (GAF) was repaired by superior epigastric artery-based rectus abdominis muscle flap (RAMF). Postoperative recovery was uneventful. This technique may be useful for closure of proximal enteroatmospheric fistulae that fail to heal through medical and conventional surgical management.
authors.affiliation: Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Rahul
authors.identifier: http://orcid.org/0000-0001-7461-2083
authors.initials: R
authors.lastname: Gupta
authors.affiliation: Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Harjeet
authors.initials: H
authors.lastname: Singh
authors.affiliation: Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Shibojit
authors.initials: S
authors.lastname: Talukder
authors.affiliation: Surgical Gastroenterology Division, Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Ganga Ram
authors.initials: GR
authors.lastname: Verma
mesh_terms: D003937:Diagnosis, Differential; D019074:Epigastric Arteries; D005747:Gastric Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D017568:Rectus Abdominis / Q000637:transplantation*; D013524:Surgical Flaps / Q000098:blood supply; D016896:Treatment Outcome
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