Enteric Fistulas: Principles of Management

Schecter, William P.; Hirshberg, Asher; Chang, David S.; Harris, Hobart W.; Napolitano, Lena M.; Wexner, Steven D.; Dudrick, Stanley J.

doi:10.1016/j.jamcollsurg.2009.05.025

Cited by 194 publications

(173 citation statements)

References 73 publications

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“…Reoperation increases both morbidity, and mortality rates. [38,39] Besides, they delay patients'return to their social activities, and prolong hospital stay. If second operation also fails, then the risk of morbidity, and mortality will also tremendously increase.…”

Section: Urethra and Spongiosal Tissuementioning

confidence: 99%

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Cyanoacrylic tissue glues: Biochemical properties and their usage in urology

Ayyıldız

2017

Turkish Journal of Urology

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Tissue adhesives are being used in medical and cosmetic industries and first aid for a long time. But their everyday usage has not been widespread. Only case report information is available about their usage. Despite good and meaningful results after they were used, there is lack of standard information that gives idea of about in which cases they could be helpful. Nowadays, cyanoacrylates are used in the surgery more frequently. In this review, we wanted to oversee the biochemical properties and the urological utilisation areas of cyanoacrylates.

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Section: Urethra and Spongiosal Tissuementioning

confidence: 99%

“…Therefore CA glues were used to shorten closure time of the fistula, and also prevent a second operation. [38][39][40] Previously, foams, and fibrin adhesives had been used to close enteric fistulas temporarily. These agents do not provide tensile, and bonding strength as achieved with CA glues.…”

Section: Urethra and Spongiosal Tissuementioning

confidence: 99%

Cyanoacrylic tissue glues: Biochemical properties and their usage in urology

Ayyıldız

2017

Turkish Journal of Urology

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“…During the past two decades, wide adoption of damage control laparotomy techniques has brought about an increasing number of complex fistulas [23]. These so called enteroatmospheric fistulas (EAF) arise in the setting of an open wound without abdominal musculature or skin surrounding a budded or ''stomatized'' fistula opening in the midst of a large bed of granulation tissue [23][24][25]. Management of such complex wounds requires novel ways of controlling fistula output and protecting skin.…”

Section: Classificationmentioning

confidence: 99%

Enterocutaneous Fistulas: A Look at Causes and Management

2014

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Despite advances in medical technology and surgical care, the management of enterocutaneous fistulas remains one of the most challenging problems faced by physicians. Success depends on an expert multidisciplinary team, access to long-term enteral and parenteral nutrition support, advanced wound care, optimal medical management and meticulous, methodical, surgical decision-making and technique. Management is complex and multiphasic. Improved survival rates for many morbid problems have resulted in a growing population of patients with increasingly complex fistulas. This article reviews the etiologies as well as classic and evolving management strategies for this problem.

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“…It is not uncommon that following such an operation, the abdominal wall is left open, leading to the formation of an enteroatmospheric fistula. 3,4 Two novel surgical options that may be applied during emergency operations are worth mentioning here. If a fistula opening is encountered and bowel cannot be repaired primarily, the "floating stoma" described by Subramaniam et al allows isolating the fistula from the rest of wound by creating a controlled stoma by suturing the edges of the hole in the intestine to the plastic silo used for temporary coverage.…”

Section: Control Of Sepsismentioning

confidence: 99%

Treatment Options in Gastrointestinal Cutaneous Fistulas

Ashkenazi

Turégano-Fuentes

Olsha

et al. 2017

Surg J

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Enterocutaneous fistulas occur most commonly following surgery. A minority of them is caused by a myriad of other etiologies including infection, malignancy, and radiation. While some fistulas may close spontaneously, most patients will eventually need surgery to resolve this pathology. Successful treatment entails adoption of various methods of treatment aimed at control of sepsis, protection of surrounding skin and soft tissue, control of fistula output, and maintenance of nutrition, with eventual spontaneous or surgical closure of the fistula. The aim of this article is to review the various treatment options in their appropriate context.

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Enteric Fistulas: Principles of Management

Cited by 194 publications

References 73 publications

Cyanoacrylic tissue glues: Biochemical properties and their usage in urology

Cyanoacrylic tissue glues: Biochemical properties and their usage in urology

Enterocutaneous Fistulas: A Look at Causes and Management

Treatment Options in Gastrointestinal Cutaneous Fistulas

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