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Related Experiment Videos

Enterocutaneous fistulae: interventional radiologic management

G K McLean, J A Mackie, D B Freiman

    AJR. American Journal of Roentgenology
    |April 1, 1982
    PubMed
    Summary

    Interventional radiology successfully managed high-output enterocutaneous fistulae in twelve patients. This therapy controlled bowel effluent and sepsis, leading to spontaneous closure of the fistulous tract.

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    Area of Science:

    • Gastroenterology
    • Interventional Radiology
    • Surgical Gastroenterology

    Background:

    • High-output enterocutaneous fistulae present a significant clinical challenge.
    • Effective management strategies are crucial for patient recovery and preventing complications.

    Observation:

    • A novel interventional radiologic approach was employed for twelve patients with high-output enterocutaneous fistulae.
    • The technique involved T-tube placement for bowel effluent control and sump drains for adjacent drainage.
    • Communicating abscesses were also managed with catheterization and drainage.

    Findings:

    • Successful control of bowel effluent was achieved in all twelve patients.
    • Sepsis was effectively managed, leading to improved patient outcomes.
    • The interventional approach facilitated the formation of a mature, fibrous tract.
    • Spontaneous closure of the fistulous tract was observed post-treatment.

    Implications:

    • Interventional radiology offers a minimally invasive and effective treatment for high-output enterocutaneous fistulae.
    • This therapeutic strategy can lead to improved patient recovery and reduced morbidity.
    • The technique provides a viable alternative to traditional surgical interventions.

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