A study on Enterocutaneous fistula

Dr. Mritunjay Kumar; Dr. Sohail Anjum

Volume : VI, Issue : X, October - 2016

A study on Enterocutaneous fistula

Dr. Mritunjay Kumar, Dr. Sohail Anjum

Abstract :

Background : Enterocutaneus fistula (ECF) is a result of complex intraperitoneal infection process. Even with modern and advanced surgical suturing techniques, staplers, newer antibiotic therapy and modern investigations, mortality of the disease remains up to 50%. The objective of this study was to evaluate the clinical characteristics of patients and the response to different treatments. Materials and methods: Study includes fifty (50) patients treated for enterocutaneous fistulae in our hospital between January 2015 and December 2015. They were subsequently investigated and managed according to the standard protocol. Results: 28 cases were successfully recovered with antibiotics and secondary closure. 10 cases got spontaneously closed. 12 cases died due to septicaemia. Conclusions: Patients can be helped to recover from this dreaded disease by early diagnosis and management of malnutrition, fluid and electrolyte imbalance, infection process and simultaneous medical diseases although the majority of patients required surgery as the ultimate treatment