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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:
Ostomy Care01:24

Ostomy Care

Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:

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Related Experiment Video

Updated: May 29, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Operative surgery for enterocutaneous fistula.

Howard Ross1

  • 1Colon and Rectal Surgery, Riverview Medical Center, Red Bank, New Jersey.

Clinics in Colon and Rectal Surgery
|September 3, 2011
PubMed
Summary

Managing enterocutaneous fistulas requires coordinated care. Most fistulas heal spontaneously within 4 weeks, but surgical intervention may be needed for definitive closure.

Area of Science:

  • Gastroenterology and Surgical Management

Background:

  • Enterocutaneous fistulas present complex clinical challenges.
  • Successful management necessitates a multidisciplinary approach.

Purpose of the Study:

  • To outline optimal strategies for the management of enterocutaneous fistulas.
  • To discuss both nonoperative and operative treatment modalities.

Main Methods:

  • Review of nonoperative management principles, focusing on spontaneous healing timelines.
  • Description of surgical techniques, including bowel resection and anastomosis.
  • Discussion on the optimal timing for definitive surgical intervention.

Main Results:

  • Spontaneous healing occurs in the majority of fistulas within the first 4 weeks with nonoperative management.
Keywords:
Enterocutaneous fistulasoperative managementresectiontiming

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  • Definitive surgical treatment involves resection of the affected bowel segment.
  • Delayed surgical intervention, months after fistula development, is often optimal.
  • Recurrent fistulas can be successfully treated with subsequent surgical attempts.

    • Conclusions:

    • Optimal management of enterocutaneous fistulas involves a combination of nonoperative and surgical strategies.
    • Early nonoperative care can lead to spontaneous resolution in many cases.
    • Delayed surgical intervention offers the best chance for definitive cure, even after recurrence.