Enterocutaneous fistulae

Metcalf, Chris

doi:10.12968/jowc.1999.8.3.25854

Cited by 16 publications

(7 citation statements)

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“…An anastomosis leakage was defined as tissue breakdown at the anastomotic site resulting in a fluid collection with or without evidence of extravasation of contrast on radiologic study [ 6 ]. A fistula was defined as abnormal communication between two epithelialized surfaces [ 7 ]. Perforation was defined as a full-thickness defect in the gastrointestinal tract.…”

Section: Methodsmentioning

confidence: 99%

Efficacy of the Over-the-Scope Clip System for Treatment of Gastrointestinal Fistulas, Leaks, and Perforations: A Korean Multi-Center Study

Lee

Cho

et al. 2018

Clin Endosc

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Background/AimsCurrently, a new over-the-scope clip (OTSC) system has been introduced. This system has been used for gastrointestinal perforations and fistulas in other countries. The aim of our study is to examine the therapeutic success rate of endoscopic treatment using the OTSC system in Korea.MethodsThis was a multicenter prospective study. A total of seven endoscopists at seven centers performed this procedure.ResultsA total of 19 patients were included, with gastrointestinal leakages from anastomosis sites, fistulas, or esophageal perforations due to Boerhaave’s syndrome. Among these, there were three gastrojejunostomy sites, three esophagojejunostomy sites, four esophagogastrostomy sites, one esophagocolonostomy site, one jejuno-jejunal site, two endoscopic full thickness resection site closures, one Boerhaave’s syndrome, two esophago-bronchial fistulas, one gastrocolonic fistula, and one colonopseudocyst fistula. The size of the leakage ranged from 5 to 30 mm. The median procedure time was 16 min. All cases were technically successful. Complete closure of the leak was achieved in 14 of 19 patients using OTSC alone.ConclusionsThe OTSC system is a safe and effective method for the management of gastrointestinal leakage, especially in cases of anastomotic leakage after surgery.

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Section: Methodsmentioning

confidence: 99%

Efficacy of the Over-the-Scope Clip System for Treatment of Gastrointestinal Fistulas, Leaks, and Perforations: A Korean Multi-Center Study

Lee

Cho

et al. 2018

Clin Endosc

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“…Res. 4 (11), 1435-1445 1436 The complexity of an enterocutaneous fistula depends on the volume and nature of the output. Low-volume output is <200 ml/24 hours, moderate output is 200 to 500 ml/24 hours and high output is >500 ml/24 hours.…”

Section: Issn: 2320-5407mentioning

confidence: 99%

To Study the Epidemiology and Management of Fecal Fistula

Gorka¹,

Sodhi²,

Kaul³

et al. 2016

IJAR

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Aims and objectives:-to study the epidemiology of fecal fistula Material and methods:-inclusion criteria:-all patients developing fecal fistula after abdominal surgery.Exclusion criteria:pharengial.oesophageal,anorectal and urinary fistulas are excluded from the study. Results and conclusion:-in the end it was concluded that fecal fistula is a post operative complication with significant morbidity in relation to patient on one side and a lot of dedicated effort in limiting the morbidity on other side is required by the doctor with utmost care of the patient with fecal fistula.

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“…The incidence rate of spontaneous fistula is approximately 15%–25% ( Berry and Fischer, 1996 ; Arenas-Marquez et al, 1999 ). These can be a secondary consequence of Breakdown of Crohn’s disease, malignancy, radiation exposure, infectious diseases, diverticular disease, vascular failure, and mesenteric ischemia ( Metcalf, 1999 ). Postoperative fistulas account for 75%–85% of all fistulas in the gastrointestinal tract and result from inadvertent enterotomy, rupture at the site of anastomosis, a foreign object proximal to the anastomosis, poor suturing technique, distal obstruction, hematoma, abscess formation at the anastomotic site, or tumor ( Berry and Fischer, 1994 ; Metcalf, 1999 ; Evenson and Fischer, 2006 ).…”

Section: Introductionmentioning

confidence: 99%

A review of platelet-rich plasma for enteric fistula management

Liang,

Zheng,

et al. 2023

Front. Bioeng. Biotechnol.

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Enteric fistula (EF), a serious complication after abdominal surgery, refers to unnatural communication between the gastrointestinal tract and the skin or other hollow organs. It is associated with infection, massive fluid/electrolyte loss, and malnutrition, resulting in an unhealed course. Despite advances in surgical techniques, wound care, infection control, and nutritional support, EF remains associated with considerable morbidity and mortality. Autologous platelet-rich plasma (PRP) containing elevated platelet concentrations has been proposed to promote healing in many tissues. However, the mechanism of action of PRP in EF treatment remains unclear owing to its complicated clinical manifestations. In this review, we summarized the clinical approaches, outlined the principal cytokines involved in the healing effects, and discussed the advantages of PRP for EF therapy. In addition, we defined the mechanism of autologous PRP in EF management, which is essential for further developing EF therapies.

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Enterocutaneous fistulae

Abstract: A review of the types of enterocutaneous fistula and their management

Cited by 16 publications

References 0 publications

Efficacy of the Over-the-Scope Clip System for Treatment of Gastrointestinal Fistulas, Leaks, and Perforations: A Korean Multi-Center Study

Efficacy of the Over-the-Scope Clip System for Treatment of Gastrointestinal Fistulas, Leaks, and Perforations: A Korean Multi-Center Study

To Study the Epidemiology and Management of Fecal Fistula

A review of platelet-rich plasma for enteric fistula management

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