Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Postoperative small bowel fistula: back to basics.

I P Bissett1

  • 1Department of Surgery, Western Regional Hospital, Pokhara, Nepal. i.bissett@auckland.ac.nz

Tropical Doctor
|July 21, 2000
PubMed
Summary

This study reviewed 21 patients with postoperative small bowel fistulas, detailing management and outcomes. Effective management led to successful closure in 16 patients, improving survival rates for these complex gastrointestinal conditions.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Efficacy of different surgical treatments for management of anal fistula: a network meta-analysis.

Techniques in coloproctology·2023
Same author

Author response to: Comment on: Novel chyme reinfusion device for gastrointestinal fistulas and stomas: feasibility study.

The British journal of surgery·2020
Same author

Novel chyme reinfusion device for gastrointestinal fistulas and stomas: feasibility study.

The British journal of surgery·2020
Same author

Network meta-analysis of local and regional analgesia following colorectal resection.

The British journal of surgery·2020
Same author

Diverticular disease epidemiology: acute hospitalisations are growing fastest in young men.

Techniques in coloproctology·2019
Same author

Nonsteroidal anti-inflammatory drugs reduce the time to recovery of gut function after elective colorectal surgery: a systematic review and meta-analysis.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2018

Area of Science:

  • Gastroenterology
  • Surgical Management
  • Patient Outcomes

Background:

  • Postoperative small bowel fistulas present a significant clinical challenge.
  • Effective management strategies are crucial for patient recovery and survival.

Purpose of the Study:

  • To review the management and outcomes of patients with postoperative small bowel fistulas.
  • To identify key principles in the successful treatment of these complex cases.

Main Methods:

  • Retrospective review of 21 patients with small bowel fistulas (jejunal and ileal).
  • Analysis of management principles including resuscitation, skin care, surgical intervention, and enteral feeding.
  • Evaluation of patient outcomes, including fistula closure and mortality.

Main Results:

  • Six jejunal and 15 ileal fistulas were identified.
  • Management involved initial resuscitation, timely surgery for complications, and tailored enteral feeding.
  • Fistula closure was achieved in 16 patients; five patients died.

Conclusions:

  • A structured approach combining resuscitation, early surgical intervention when necessary, and nutritional support is effective.
  • Successful management of postoperative small bowel fistulas can significantly improve patient survival and well-being.

Related Experiment Videos