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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
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Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic01:26

Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic

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Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

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Ostomy Care01:24

Ostomy Care

Introduction
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External Female Genitals01:15

External Female Genitals

The vulva encompasses the external structures of the female reproductive system. At the forefront is the monpubis, a cushion of fatty tissue atop the pubic bone. Once puberty sets in, this area typically grows hair. Extending from just behind the mons pubis are the labia majora (labia = 'lips'; majora = 'larger'), which are larger skin fs olds coated with hair. Nestled within are the labia minora (labia = 'lips'; minora = 'smaller'), which are thinner, more pigmented, and hairless. While the...

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Related Experiment Video

Updated: Jun 19, 2026

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
07:30

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique

Published on: April 1, 2022

Enterocutaneous fistula.

O G Ajao1, M Y Shehri

  • 1College of Medicine and Health Sciences Prof. O G Ajao and Dr. M Y Shehri, King Khalid University and Asir Central Hospital, Saudi Arabia.

Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association
|October 29, 2009
PubMed
Summary
This summary is machine-generated.

Enterocutaneous fistula management has evolved through distinct eras, with current approaches prioritizing sepsis control and nutrition over immediate surgery. Serum protein levels and medications like somatostatin aid in predicting and promoting spontaneous fistula closure.

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Colonial Wig Pancreaticojejunostomy
07:49

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Published on: March 12, 2019

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Last Updated: Jun 19, 2026

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
07:30

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique

Published on: April 1, 2022

Colonial Wig Pancreaticojejunostomy
07:49

Colonial Wig Pancreaticojejunostomy

Published on: March 12, 2019

Area of Science:

  • Gastroenterology
  • Surgical Management
  • Clinical Nutrition

Background:

  • Enterocutaneous fistula management has historically been categorized into treatment eras: antibiotics, intensive nursing care, and intravenous hyperalimentation.
  • The Schein modification of the Sitges-Serra classification is now preferred over the older high-output/low-output system.
  • Technical failure is a significant cause of enterocutaneous fistula formation.

Purpose of the Study:

  • To review the historical evolution and current best practices in managing enterocutaneous fistulas.
  • To identify key predictors of mortality and spontaneous closure.
  • To highlight the primary goals of enterocutaneous fistula treatment.

Main Methods:

  • Historical review of enterocutaneous fistula management periods.
  • Discussion of classification systems for enterocutaneous fistulas.
  • Analysis of prognostic indicators and therapeutic interventions.

Main Results:

  • Serum levels of short-turnover proteins (albumin retinal-binding protein, thyroxin binding pre-albumin, serum transferring) are predictors of mortality and spontaneous closure.
  • Immediate surgical correction is not the priority; control of sepsis and adequate nutrition are paramount.
  • Somatostatin and octreotide have demonstrated efficacy in shortening the duration of spontaneous fistula closure.

Conclusions:

  • Effective enterocutaneous fistula management hinges on controlling sepsis and ensuring adequate nutrition.
  • Prognostic markers, including specific serum proteins, aid in patient assessment.
  • Pharmacological agents like somatostatin and octreotide can facilitate fistula healing.