Enterocutaneous fistulas: an overview
| Autor: | J. F. Whelan, Rao R. Ivatury |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
business.industry Fistula General surgery Enteric fistula Critical Care and Intensive Care Medicine medicine.disease Defunctioning stoma Surgery Resection Early surgery Emergency Medicine medicine Orthopedics and Sports Medicine Abscess business Gastrointestinal Fistula Open abdomen |
| Zdroj: | European Journal of Trauma and Emergency Surgery. 37:251-258 |
| ISSN: | 1863-9941 1863-9933 |
| DOI: | 10.1007/s00068-011-0097-2 |
| Popis: | Enterocutaneous fistulas remain a difficult management problem. The basis of management centers on the prevention and treatment of sepsis, control of fistula effluent, and fluid and nutritional support. Early surgery should be limited to abscess drainage and proximal defunctioning stoma formation. Definitive procedures for a persistent fistula are indicated in the late postoperative period, with resection of the fistula segment and reanastomosis of healthy bowel. Even more complex are the enteroatmospheric fistulas in the open abdomen. These enteric fistulas require the highest level of multidisciplinary approach for optimal outcomes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink