1989
DOI: 10.1002/bjs.1800760708
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High-output external fistulae of the small bowel: Management with continuous enteral nutrition

Abstract: Three hundred and thirty-five patients with high-output enterocutaneous fistulae arising from the small intestine are reported. Median fistula output was 1350 ml/24 h. Eighty-two per cent of patients were referred from other institutions. The fistula opening was associated with evisceration in 165 cases (49 per cent). One or more severity factors were present in 75.5 per cent of the patients. Patients were divided into three groups according to their initial therapy: 21 patients (6 per cent) referred in a mori… Show more

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Cited by 115 publications
(90 citation statements)
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“…Careful monitoring of the character and volume of output of a fistula can guide resuscitation and nutrition support efforts. There have been several series studying the relationships between output and mortality as well as likelihood of spontaneous closure suggesting increased mortality and decreased spontaneous closure rate in high output fistulas [13,[16][17][18][19]. Other physiological factors that predict spontaneous fistula closure include a well-maintained nutritional status and absence of sepsis (Table 3).…”
Section: Classificationmentioning
confidence: 99%
“…Careful monitoring of the character and volume of output of a fistula can guide resuscitation and nutrition support efforts. There have been several series studying the relationships between output and mortality as well as likelihood of spontaneous closure suggesting increased mortality and decreased spontaneous closure rate in high output fistulas [13,[16][17][18][19]. Other physiological factors that predict spontaneous fistula closure include a well-maintained nutritional status and absence of sepsis (Table 3).…”
Section: Classificationmentioning
confidence: 99%
“…At present, the treatment of patients with an abdominal wall defect in which a fi stula develops in the exposed intestine is probably the biggest challenge [8]. The few retrospective studies available in the literature concerning these patients are either incomplete or only describe small numbers [9][10][11][12][13][14].…”
Section: Introductionmentioning
confidence: 99%
“…Surgical closure rates were better than spontaneous closure rates in patients receiving enteral nutrition alone. 13 Closure rates were higher in patients with albumin level ≥3.0gm/dl. Surgical closure rates were higher than spontaneous closure rates in both populations.…”
Section: Discussionmentioning
confidence: 88%