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Delayed reconstructive surgery for complex enterocutaneous fistulae.

R L Conter1, L Roof, J J Roslyn

  • 1Division of General Surgery, UCLA School of Medicine 90024.

The American Surgeon
|October 1, 1988
PubMed
Summary
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Delayed reconstructive surgery for complex enterocutaneous fistulae in critically ill patients achieved high success rates. This staged approach, deferring definitive surgery, offers a viable management strategy for challenging cases.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Abdominal Surgery

Background:

  • Complex enterocutaneous fistulae pose significant challenges in patient management.
  • Delayed reconstruction is often considered for fistulae associated with critical illness or large defects.

Purpose of the Study:

  • To evaluate the outcomes of delayed reconstructive surgery for complex enterocutaneous fistulae.
  • To assess the efficacy and safety of a staged, multidisciplinary approach in seriously ill patients.

Main Methods:

  • Retrospective analysis of 51 consecutive patients with complex enterocutaneous fistulae.
  • Inclusion of patients undergoing delayed reconstructive surgery.

Main Results:

  • Gastrointestinal continuity was successfully restored in 94% of patients.

Related Experiment Videos

  • A low mortality rate of 4% was observed in this seriously ill cohort.

    • Conclusions:

    • A staged, multidisciplinary approach with delayed definitive surgery is effective for complex enterocutaneous fistulae.
    • This strategy is particularly beneficial for patients with multiple, recurrent fistulae, or large abdominal wall defects.