title: Enterocutaneous fistulas: an overview.
abstract: Enterocutaneous fistulas remain a difficult management problem. The basis of management centers on the prevention and treatment of sepsis, control of fistula effluent, and fluid and nutritional support. Early surgery should be limited to abscess drainage and proximal defunctioning stoma formation. Definitive procedures for a persistent fistula are indicated in the late postoperative period, with resection of the fistula segment and reanastomosis of healthy bowel. Even more complex are the enteroatmospheric fistulas in the open abdomen. These enteric fistulas require the highest level of multidisciplinary approach for optimal outcomes.
authors.affiliation: Department of Surgery, Virginia Commonwealth University, 1200 East Broad Street W15E, Richmond, VA, 23298, USA.
authors.forename: J F
authors.initials: JF
authors.lastname: Whelan
authors.affiliation: Department of Surgery, Virginia Commonwealth University, 1200 East Broad Street W15E, Richmond, VA, 23298, USA. rivatury@hsc.vcu.edu.
authors.forename: R R
authors.initials: RR
authors.lastname: Ivatury
keywords: Bowel fistulas; Enteric fistula; Enteroatmospheric fistula; Gastrointestinal fistula; Open abdomen
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