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Enterocutaneous Fistula: Proven Strategies and Updates
Irena Gribovskaja-Rupp1, Genevieve B Melton2
1Department of Surgery, University of Iowa, Iowa City, Iowa.
Abstract:
Management of enterocutaneous fistula represents one of the most protracted and difficult problems in colorectal surgery with substantial morbidity and mortality rates. This article summarizes the current classification systems and successful management protocols, provides an in-depth review of fluid resuscitation, sepsis control, nutrition management, medication management of output quantity, wound care, nonoperative intervention measures, operative timeline, and considerations, and discusses special considerations such as inflammatory bowel disease and enteroatmospheric fistula.
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