Present-day principles in the management of enterocutaneous fistulae

Enterocutaneous fistulae after abdominal surgery are not uncommon, and their occurrence has in the past been associated with a high morbidity. Recent advances in the management of this condition are reviewed and a practical scheme of management is outlined. The advent of total parenteral nutrition and elemental diets has to a large extent negated the need for early surgery, and unless complicating factors are present, treatment is initially conservative, anticipating spontaneous closure in the majority of patients.