STUDY OF ENTEROCUTANEOUS FISTULA
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 12
Abstract
BACKGROUND: A fistula is defined as abnormal communication between two epithelial surfaces. 1 Enterocutaneous fistula is defined as abnormal communication between hollow organ and skin. They are classified as congenital or acquired. We have excluded congenital and internal fistulas. We have also excluded esophageal, urinary, pancreatic and biliary fistulas as their management is complex and differs significantly from enterocutaneous fistulas. AIM: 1. Study of aetiology, pathophysiology and management of enterocutaneous fistula. To evaluate previously laid principles of management of enterocutaneous fistula. 2. To assess the feasibility of early intervention safety and outcome as the conservative long term treatment appears to be cost prohibitive. 3. To study morbidity and mortality related to enterocutaneous fistula. MATERIAL AND METHODS: In all, 50 cases of enterocutaneous fistula were studied during a period from June 2012 to November 2014 at a Government tertiary care Centre. Both, patients referred from other centres with post-operative fistulas and fistulas developed in this institute after surgeries or spontaneously were included in the study after fulfilling the inclusion and exclusion criteria. RESULTS: The maximum numbers of cases were between 39-48 years of age group. Spontaneous closure was achieved in 72.7% and surgical closure in 76.7% of the patients Vacuum assisted closure was achieved in 66.66% of the patients in whom VAC was used. Of the patients in whom octreotide was used closure was achieved in 66.66% of the patients. The association between serum albumin levels and fistula healing and between fistula output and mortality were statistically significant. Overall mortality in this study was 26% with 44.44% among referred cases and 15.625% among institutional cases.
Authors and Affiliations
Arti Mitra, Unmed Chandak, Prashant Agarwal, Manish Singh, Ritesh Satarda
Keywords
Related Articles
- EP ID EP226708
- DOI 10.18410/jebmh/2015/258
- Views 76
- Downloads 0
AN UNUSUAL SKULL WITH MULTIPLE BONY TUBERCLES ON THE SUPERIOR SURFACE OF THE CALVARIA – A CASE STUDY
In the routine osteology class held for first MBBS in DM-WIMS, Meppadi, Kerala; a skull was found to have multiple bony lesions on the superior surface of the calvarias. The lesions were multiple, rounded and varied from...
ORBITAL CYSTICERCOSIS MASQUERADING AS INTERNUCLEAR OPHTHALMOPLEGIA
A Muslim lady, 24 year old presented with complaints of headache, orbital pain and right eye adduction deficit mimicking Internuclear Ophthalmoplegia. However absence of diplopia in primary or left gaze made us look for...
CHANGES IN CENTRAL CORNEAL THICKNESS IN DIABETES MELLITUS PATIENTS
BACKGROUND India has emerged as the diabetes capital of the world. A large percentage of these patients have metabolically uncontrolled Diabetes Mellitus. High glucose level has deleterious effect on corneal endothelial...
A PROSPECTIVE OBSERVATIONAL STUDY OF THE CLINICOPATHOLOGICAL PROFILE, EPIDEMIOLOGICAL RISK FACTORS AND FALLOPIAN TUBE MUCOSAL INVOLVEMENT IN OVARIAN CANCER
BACKGROUND Many of the ovarian tumours traditionally thought to be of ovarian origin is now thought to primarily originate in other pelvic organs and ovarian involvement is actually secondary. MATERIALS AND METHODS A pro...
OUR EXPERIENCE WITH PROPELLER FLAP
Propeller flap is based on a vascular pedicle supplying a fascio cutaneous island of skin. It is used to reconstruct soft tissue defects. Flexion contractures are aesthetically deforming post burns sequalae. Various tech...