Surgical management of gastrointestinal fistulas

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W.B. Saunders , Philadelphia
Fistula, Gastric. -- Su
StatementMichael M. Meguid and Antonio C.L. Campos, guest editors.
SeriesSurgical management of gastrointestinal fistulas -- v. 76, no. 5
ContributionsCampos, Antonio C. L., Meguid, Michael M.
The Physical Object
Paginationxiii p., p. 1009-1203 :
ID Numbers
Open LibraryOL23376867M

OCLC Number: Notes: "October " Description: xiii, pages illustrations ; 24 cm. Contents: Classification and pathophysiology of enterocutaneous fistulas / Scott M.

Berry and Josef E. Fischer --General management of gastrointestinal fistulas: recognition, stabilization, and correction of fluid and electrolyte imbalances / Clarence E. Foster III and Alan T. Lefor. The successful management of GI fistula requires a multi-disciplinary team approach including a gastroenterologist, interventional radiologist, enterostomal therapist, dietician, social worker and surgeons.

Treatment. The goals of therapy for patients with enterocutaneous fistulas are to correct metabolic and nutritional deficits, close the fistula, and reestablish continuity of the gastrointestinal tract. The expected treatment course can be divided into five overlapping, but sequential phases (table II).Cited by: 7.

An ideal resource for written, oral, and recertifying board study, as well as an excellent reference for everyday clinical practice, Current Surgical Therapy, 13th Edition, provides trusted, authoritative advice on today's best treatment and management options for general nts and practitioners alike appreciate the consistent, highly formatted approach to each topic, as well as 5/5(1).

The three approaches to the surgical management of these fistulas are exclusion, resection, and closure of the leak.

Description Surgical management of gastrointestinal fistulas EPUB

The exclusion of a fistula is usually reserved for the very sick patient. It is often not the treatment of choice, as it requires a second surgical procedure to restore intestinal continuity after the fistula by: Because cancer is the reason most esophageal resections are required, the management of postoperative fistula and anastomotic leak is included in this section.

Leaks are due to three factors related to peculiarities of esophageal anatomy: (1) the absence of a serosa, (2) poor blood supply, and (3) possible tension in constructing an by: 8.

The etiology of intestinal fistulas is in most cases a result of multiple contributing factors. Despite significant advances in their management over the past decades, intestinal fistulas remain a major clinical problem, with a high overall mortality rate of Cited by: 3.

Interventional management of GI fistulas is a valuable non-surgical therapy for seriously ill patients and is a comprehensive treatment option that includes percutaneous drainage and several other interventional procedures.

However, interventional management is not easy and numerous manipulations and controls are required over many days.

Interventional Management of Gastrointestinal Fistulas Korean J Radiol 9(6), December AB Fig. High-output fistula after Billroth I operation due to stomach cancer.

Abdomen CT image shows abnormal loculated fluid collection with scanty air-bubbles. Post-surgical complications such as perforations, leaks and fistulas can be devastating, as they prolong hospitalization and are the source of considerable morbidity and mortality. Typically these defects are managed either with rescue surgery when the defect is identified early after surgery, or with a wait-and-watch strategy followed by.

Skin or wound care management is one component of the overall medical-surgical management of patients with GI fistulas. This component plays a significant role in promoting patient comfort and well-being and mechanical control of unwanted drainage on the by: All patients underwent surgical management either in the form of a redo gastrojejunal anastomosis with excision of fistula (%) or a remnant gastrectomy with excision of fistula (%).

surgical management and treatment of sepsis associated with gastrointestinal fistulas Author links open overlay panel Rolando Rolandelli MD, FACS * Joel J. Roslyn MD, FACS * Show moreCited by: While surgical management of thoracic, hepato-pancreato-biliary, and colorectal diseases continues to evolve, morbidity continues to be a persistent problem.

This book provides a comprehensive, state-of-the art, definitive reference for the diagnosis and management of difficult-to-manage complications following advanced gastrointestinal surgery.

Details Surgical management of gastrointestinal fistulas PDF

After surgical repair of enterocutaneous fistulas, the risk of fistula recurrence is reported as %. The main predictive factor of recurrence is the surgical technique used: Wedge resection or oversewing of an enterocutaneous fistula carries a recurrence rate of %, compared with % in patients who underwent resection or anastomotic.

Objective To analyze postoperative outcomes, morbidity, and mortality following enterocutaneous fistula (ECF) takedown. Design, Setting, and Patients Retrospective review of the complete medical records of patients who presented to a single tertiary care referral center from Decemto Jand subsequently underwent definitive surgical treatment for Cited by:   Anatomic delineation of a gastrointestinal fistula is essential in assessing the likelihood of spontaneous closure or to plan the surgical management.

Computed tomography (CT) enterography and/or fistulograms provide invaluable by: 5. The successful management of GI fistula requires a multi-disciplinary team approach including a gastroenterologist, interventional radiologist, enterostomal therapist, dietician, social worker and surgeons.

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With this coordinated approach, EC fistula can. A three stage strategy is generally employed in the management of gastrointestinal fistulae which can form due to surgery, disease, or by: 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 : Christine Metcalf. Anatomic delineation of a gastrointestinal fistula is essential in assessing the likelihood of spontaneous closure or to plan the surgical management.

Computed tomography (CT) enterography and/or. Kwon SH, Oh JH, Kim HJ, et al. Interventional management of gastrointestinal fistulas.

Korean J Radiol ; Schein M, Decker GA. Gastrointestinal fistulas associated with large abdominal wall defects: experience with 43 patients.

Br J Surg ; Irving M, White R, Tresadern J. Three years' experience with an intestinal failure unit. The test-taker is required to have an understanding of fistulas managed with medical management and those requiring surgical intervention. Bryant RA, Best M. Management of draining wounds and fistulas.

In: Bryant RA, Rolstad BS, eds. Acute and Chronic Wounds; Current management Concepts. 5th ed. – 2. Nix D, Bryant RA. Fistula. A gastrointestinal fistula (GIF) is an abnormal opening in your digestive tract that causes gastric fluids to seep through the lining of your stomach or : Sandy Calhoun Rice.

The appropriate management of patients with gastrointestinal leaks, fistulas and perforations requires cooperation between the gastroenterologist, surgeon and radiologist. The increasing number of endoscopic procedures with a high risk of perforation and the increasing incidence of leakage associated with bariatric operations necessitate minimally invasive treatment of these Cited by: Rectal advancement mucosal flap (RAF) is one of the methods used in surgical fistula eradication with high success rate in cryptoglandular fistulas.

However, this technique is technically demanding and results can be expert depended with wide spread of healing rates (%) in individual studies as referred in recent systematic review.

fistula plugs, and vacuum sponges are among the technol-ogies currently being used to treat fistulae. These therapies allow many patients to avoid surgical fistula repair. In this paper, we will review the emerging role of endoscopy in the management of gastrointestinal fistulae.

Definition and Classification Fistulae can be internal or external. The treatment of perianal fistulas remains a clinical challenge despite the significant advances that have been made in the management of luminal inflammatory bowel disease.

In combination with medical therapies, surgical management of perianal fistulas is important for Cited by: 1. Rolandelli R, Roslyn JJ. Surgical management and treatment of sepsis associated with gastrointestinal fistulas.

Surg Clin North Am. Oct. 76 (5) Panes J, Rimola J. Perianal fistulizing Crohn's disease: pathogenesis, diagnosis and therapy. Nat Rev Gastroenterol Hepatol. Nov. 14 (11) Surgical management and treatment of sepsis associated with gastrointestinal fistulas. Surg Clin North Am.

; 76(5) (ISSN: ) Rolandelli R; Roslyn JJ. The development of sepsis associated with a GI fistula can be a catastrophic complication of any surgical procedure in the vicinity of the abdominal cavity.

The book is published with open access by Science Publishing Group and gastrointestinal fistulas, especially those concerning the small or the large intestine, is whether it is a lateral or a terminal fistula. A. A., Surgical management of high output enterocutaneous fistulae: a year experience.The pH of the effluent may suggest the origin of the fistula tract.

For example, extremely acidic fluid (pH to ) suggests a gastric fistula, whereas highly alkaline output ( to 8) is consistent with a pancreatic fistula (Huether, ).Most clinicians describe and classify fistulas according to location, involved structures, and volume of effluent.Management of Enteroenteric Fistula.

endoscopic, and surgical management options are reviewed providing physicians with a therapeutic framework to comprehensively treat these nonperianal.