2016
DOI: 10.4314/ecajs.v21i2.3
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Experience with enterocutaneous fistula management in a district hospital in Nigeria

Abstract: Background: Enterocutaneous fistula (ECF) is an abnormal communication between gastrointestinal tract and skin. It is a difficult condition to treat and morbidity and mortality remain high in many centers. Malnutrition and sepsis are the leading causes of death. There are no clear guidelines for optimal nutritional management. Aggressive measures to maintain positive nitrogen balance is the ultimate goal of nutritional management. Our objective was to review the practice of the nutritional management and outco… Show more

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“…[4] [13] but higher than the study done by Quinn M in the UK where she had 30.7% of cases who were referred [4]; these findings could be explained on the one hand by the difficulty of taking charge of fistulas by peripheral structures in our country and on the other hand by the delay put for the treatment of the initial pathology, but the differences in percentages can be explained by the different sample sizes. 96.4% occurred as post-operative complications following laparotomies, 2.4% occurred spontaneously in patients who had GI cancer and 96.5% of ECF as a postoperative complication [14] but slightly higher than other studies [4]; so our result is in line with what is writing in literature, which staple that the most common cause of ECF is iatrogenic and occurs in the postoperative period. As postoperative complication, 41% occurred secondary to emergency surgeries while 16.8% were secondary to elective surgeries.…”
Section: Discussionsupporting
confidence: 90%
“…[4] [13] but higher than the study done by Quinn M in the UK where she had 30.7% of cases who were referred [4]; these findings could be explained on the one hand by the difficulty of taking charge of fistulas by peripheral structures in our country and on the other hand by the delay put for the treatment of the initial pathology, but the differences in percentages can be explained by the different sample sizes. 96.4% occurred as post-operative complications following laparotomies, 2.4% occurred spontaneously in patients who had GI cancer and 96.5% of ECF as a postoperative complication [14] but slightly higher than other studies [4]; so our result is in line with what is writing in literature, which staple that the most common cause of ECF is iatrogenic and occurs in the postoperative period. As postoperative complication, 41% occurred secondary to emergency surgeries while 16.8% were secondary to elective surgeries.…”
Section: Discussionsupporting
confidence: 90%