Related Experiment Video
Updated: Oct 16, 2025
06:12
Technical Aspects of the Mouse Aortocaval Fistula
Published on: July 11, 2013
16.9K
THE ROLE OF FISTULOCLYSIS IN THE TREATMENT OF PATIENTS WITH ENTEROATMOSPHERIC FISTULAS
Marcelo Augusto Fontenelle Ribeiro-Junior1, Daniel Dante Yeh2, Samara de Souza Augusto3
1Discipline of Trauma and General Surgery, Pontifical Catholic University of São Paulo, Sorocaba, SP, Brazil.
Summary
Fistuloclysis, a technique for reinfusing gastrointestinal fluids, safely improves patient conditions with enteroatmospheric fistulas. This method enhances nutritional status and increases reconstructive surgery success rates.
Area of Science:
- Gastroenterology
- Surgical Management
- Nutritional Support
Background:
- Enterocutaneous fistulas connect the GI tract to adjacent tissues, with enteroatmospheric fistulas involving external abdominal wounds.
- High-output fistulas cause significant fluid, electrolyte, and protein loss, leading to sepsis, malnutrition, and electrolyte imbalances.
- Parenteral nutrition carries risks; fistuloclysis offers an alternative by reinfusing enteral feeding and chyme distally.
Purpose of the Study:
- To review the evidence on fistuloclysis for high-output fistulas.
- To assess the technique's applicability, benefits, and drawbacks.
Main Methods:
- A systematic literature search was performed in May 2020.
- Databases searched included PubMed, Medline, and SciELO.
- Keywords used were 'fistuloclysis,' 'chyme reinfusion,' and 'succus entericus reinfusion.'
Main Results:
- Twenty-nine articles published between 2003 and 2020 were selected.
- The synthesis included reviews and case reports.
- Fistuloclysis was found to be a safe and effective management strategy.
Conclusions:
- Fistuloclysis optimizes clinical, nutritional, and immunological status in patients with enteroatmospheric fistulas.
- It improves the success rate of reconstructive procedures.
- The technique is promising for managing challenging cases, potentially reducing or eliminating parenteral nutrition dependence.
Related Concept Videos
01:25Hemodialysis I: Introduction
436
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
436
01:24Hemodialysis II: Procedure and Complications
189
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
189
01:30Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis
32
Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
32
01:27Dialysis
640
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
640
01:25Extracorporeal Removal of Drugs: Hemoperfusion and Hemofiltration
27
Hemoperfusion and hemofiltration are critical techniques in medical treatments to eliminate accumulated drugs, metabolites, and electrolytes from the bloodstream. These methods are particularly vital in cases of accidental poisoning and drug overdose.Hemoperfusion involves passing blood through an adsorbent material to remove unwanted substances. The main adsorbents used in hemoperfusion include activated charcoal and Amberlite resins. Activated charcoal can adsorb both polar and nonpolar...
27
01:25Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
151
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
151