Volume : V, Issue : III, March - 2016

A Study of Enterocutaneous Fistulae at a teritiary care hospital.

Dr Gautham S. L, Dr Vignesh. R

Abstract :

 Enterocutaneous fistula (ECF) may occur due to a disruption in the gastrointestinal tract either due to surgery or disease, or both. These are most commonly seen in the postoperative setting and are associated with significant morbidity and mortality. The difficulties encountered in their management are related to sepsis, malnutrition, fluid and electrolyte imbalances, and consequent metabolic disturbances.[HYPERLINK "http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3221113/" l "ref1" 1] Hence, favorable outcome in patients with ECF depends on control of sepsis, adequate nutritional support, maintenance of fluid–electrolyte balance, and skin protection.[HYPERLINK "http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3221113/" l "ref2" 2,HYPERLINK "http://www.ncbi.nlm. nih.gov/pmc/articles/PMC3221113/" l "ref3" 3] Earlier studies have reported mortality as high as 65% in patients with ECF. Advances in imaging, nutritional support, and availability of effective antibiotics have reduced this to around 20%.[HYPERLINK "http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3221113/" l "ref4" 4,HYPERLINK "http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3221113/" l "ref5" 5] This study was carried out to document our institutional experience with ECF and to determine the etiological factors, presentation, prognosis, and outcome in patients with ECF in this part of the country

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr Gautham S.L, Dr Vignesh.R A Study of Enterocutaneous Fistulae at a teritiary care hospital. International Journal of Scientific Research, Vol : 5, Issue : 3 March 2016

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