Considerations for the management of enterocutaneous fistula.
Enterocutaneous fistula is an abnormal connection between the gastrointestinal tract and skin. Management includes early recognition and treatment of sepsis, reducing fluid and electrolyte homeostasis, nutrition support, wound management and a carefully timed surgical procedure. A multidisciplinary approach is required for successful management of these patients with one of the most challenging and resource-demanding aspects being local control of the effluent, requiring the skill and support of the specialist stoma care nurse. The inability to contain the fistula can be a source of morbidity for the patient, as they will experience pain and severe discomfort from the skin when leakages occur. Enterocutaneous fistula can result in intestinal failure, which is often fatal if not managed correctly.
['Metcalf|Christine|C|']
D006801:Humans D007412:Intestinal Fistula D018529:Nutritional Support D018805:Sepsis D017592:Skin Care D014945:Wound Healing
Enterocutaneous fistula Nutrition Stoma care Intestinal failure Wound care