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Published in: European Journal of Trauma and Emergency Surgery 3/2011

01-06-2011 | Review Article

Enterocutaneous fistulas: an overview

Authors: J. F. Whelan Jr., R. R. Ivatury

Published in: European Journal of Trauma and Emergency Surgery | Issue 3/2011

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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.
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Metadata
Title
Enterocutaneous fistulas: an overview
Authors
J. F. Whelan Jr.
R. R. Ivatury
Publication date
01-06-2011
Publisher
Springer-Verlag
Published in
European Journal of Trauma and Emergency Surgery / Issue 3/2011
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-011-0097-2

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