Mistakes in the management of enterocutaneous fistulae and how to avoid them

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Mistakes in the management of enterocutaneous fistulae and how to avoid them

Simon Lal, Jonatan Epstein, Philip Allan

Summary

AI Generated

Gastrointestinal fistulae are challenging complications that create abnormal connections between the gut and other organs, tissues, or skin, causing malnutrition, infection, and significant impact on quality of life.

Gastrointestinal fistulae are abnormal tracts connecting the epithelialised gut surface to another part of the gut, another organ or tissue, or to the skin.
These connections can cause enteric contents to bypass absorptive surfaces, resulting in malnutrition or diarrhoea, infection in other organs, or faeculant material appearing in the vagina or on the skin.
Fistulae have a major impact on quality of life, psychological wellbeing, and overall prognosis in terms of general health.
Multidisciplinary management includes stoma management, medical therapies to control output, nutritional support, and surgery, which plays a central role in resolving fistulae.

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Abstract

Gastrointestinal fistulae can be one of the most challenging complications of intestinal disease to manage. These abnormal tracts connect the epithelialised gut surface to either another part of the gut, another organ or tissue, or to the skin (table 1). This connection can cause enteric contents to bypass important absorptive surfaces, resulting in insidious malnutrition or overt diarrhoea, infection within other organs or the exquisitely embarrassing occurrence of having faeculant material in a woman’s vagina or on a person’s skin. Understandably, this can have a major impact on a person’s quality of life and psychological wellbeing and hamper overall prognosis in terms of general health and wellbeing. Through careful multidisciplinary management of the situation much can be done to address the fears and expectations of patients: careful stoma management, medical therapies to control output, nutritional support and consideration of the central role that surgery plays in resolving a fistula.

Topics

Small Intestine & Nutrition Surgery

Citation

Cite this article as: Allan P, Epstein J and Lal S. Mistakes in enterocutaneous fistulae management and how to avoid them. UEG Education 2019; 19: 19–21.

Published

2019

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Abstract

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2025

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Mistakes in ostomy management and how to avoid them

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Abstract

Ostomy management refers to the care and maintenance of an ostomy and involves various aspects to ensure the individual’s health, comfort, and quality of life. This should involve the patient, a close support system (family and/or friends), and a healthcare team, including ostomy nurses and healthcare professionals specialising in ostomy care.

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UEG Mistakes In Articles

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Abstract

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Citation

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Affiliations

1 Bradford Teaching Hospitals NHS trust, Leeds, United Kingdom

2 West Middlesex Hospital, London, United Kingdom

Summary

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Abstract

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Published

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UEG Mistakes In Articles

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Abstract

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Citation

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Published

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This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

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Mistakes in endoscopic treatment of Barrett oesophagus neoplasia and how to avoid them

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Abstract

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Citation

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