Display options
Cite
Taggarshe D, Bakston D, Jacobs M, et al. Management of enterocutaneous fistulae: A 10 years experience. World J Gastrointest Surg. 2010;2(7):242-6doi: 10.4240/wjgs.v2.i7.242.
Taggarshe, D., Bakston, D., Jacobs, M., McKendrick, A., & Mittal, V. K. (2010). Management of enterocutaneous fistulae: A 10 years experience. World journal of gastrointestinal surgery, 2(7), 242-6. https://doi.org/10.4240/wjgs.v2.i7.242
Taggarshe, Deepa, et al. "Management of enterocutaneous fistulae: A 10 years experience." World journal of gastrointestinal surgery vol. 2,7 (2010): 242-6. doi: https://doi.org/10.4240/wjgs.v2.i7.242
Taggarshe D, Bakston D, Jacobs M, McKendrick A, Mittal VK. Management of enterocutaneous fistulae: A 10 years experience. World J Gastrointest Surg. 2010 Jul 27;2(7):242-6. doi: 10.4240/wjgs.v2.i7.242. PMID: 21160881; PMCID: PMC2999248.
Copy Download .nbib Format: NLM
Share it on

World J Gastrointest Surg. 2010 Jul 27;2(7):242-6. doi: 10.4240/wjgs.v2.i7.242.

Management of enterocutaneous fistulae: A 10 years experience.

World journal of gastrointestinal surgery

Deepa Taggarshe, Daniel Bakston, Michael Jacobs, Alasdair McKendrick, Vijay K Mittal

Affiliations

  1. Deepa Taggarshe, Daniel Bakston, Michael Jacobs, Alasdair McKendrick, Vijay K Mittal, Department of Surgery, Providence Hospital and Medical Centers, 16001 West Nine Mile Road, Southfield, MI 48075, United States.

PMID: 21160881 PMCID: PMC2999248 DOI: 10.4240/wjgs.v2.i7.242

Abstract

AIM: To compare the outcomes of conservative vs surgical treatment of enterocutaneous fistulae (ECF) in a community teaching hospital over a decade.

METHODS: All cases of ECF between 1997 and 2007 were reviewed for management strategy.

RESULTS: Of the 83 patients with ECF, 60 (72%) were postoperative. Sixty-six patients (79.5%) were treated initially with conservative measures. Eighteen patients failed to respond to conservative treatment and required later (secondary) exploration; this group consisted of an equal number of low vs high output fistulae. Seventeen (20.5%) patients underwent initial (primary) definitive-surgery secondary to anastomotic leak and peritonitis. Surgical procedures included resection of ECF with anastomosis (24), exclusion (6) and direct-drainage (4). No significant difference was seen in the recurrence rate for conservative (10%) vs operative-treatment (20%).

CONCLUSION: Conservative treatment plays a pivotal role as an initial management in both low and high output fistulae. In selective cases only, early primary exploration is recommended.

Keywords: Enterocutaneous fistulae; High-output; Low-output

References

  1. Br J Surg. 1984 Apr;71(4):293-6 - PubMed
  2. Gut. 2001 Dec;49 Suppl 4:iv22-31 - PubMed
  3. World J Surg. 1983 Jul;7(4):481-8 - PubMed
  4. Gut. 2001 Dec;49 Suppl 4:iv11-21 - PubMed
  5. Postgrad Med J. 2002 Jun;78(920):364-5 - PubMed
  6. Surg Clin North Am. 1996 Oct;76(5):1035-80 - PubMed
  7. World J Surg. 2000 May;24(5):533-7; discussion 538 - PubMed
  8. S Afr Med J. 1980 Feb 16;57(7):227-31 - PubMed
  9. Obes Surg. 2001 Dec;11(6):766-9 - PubMed
  10. Br J Surg. 2004 Dec;91(12):1646-51 - PubMed
  11. Ann Surg. 1989 Jul;210(1):56-8 - PubMed
  12. Br J Surg. 2006 Sep;93(9):1045-55 - PubMed
  13. Br J Surg. 1995 May;82(5):638-41 - PubMed
  14. Ann Surg. 1978 Oct;188(4):460-7 - PubMed
  15. Ann Surg. 2004 Nov;240(5):825-31 - PubMed
  16. Curr Opin Clin Nutr Metab Care. 2004 May;7(3):309-16 - PubMed
  17. Surgery. 2006 Oct;140(4):570-6; discussion 576-8 - PubMed

Publication Types