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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4683844/
Sep 12, 2014 · The management of Enterocutaneous fistula (ECF) is challenging. It remains associated with morbidity and mortality, despite advancements in medical and surgical therapies. Early nutritional support using parenteral, enteral or fystuloclysis routs is essential to reverse catabolism and replace nutrients, fluid and electrolyte losses.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2967313/
The enterocutaneous fistula (ECF) is a devastating complication for both surgeons and patients alike. Prior to the advent of sophisticated critical care support and parenteral nutrition, the development of an ECF nearly equated to a death sentence.Cited by: 11
https://www.todaysdietitian.com/newarchives/011209p54.shtml
Parenteral nutrition (PN) has traditionally been the most common form of nutrition support for patients with an enterocutaneous fistula. It is more often needed for high-output fistulae or those originating in the pancreas, jejunum, or ileum.
https://onlinelibrary.wiley.com/doi/10.1177/0148607116680792
Parenteral nutrition (PN) in conjunction with nil per os (NPO) has been used to provide necessary nutrition while attempting to reduce fistula output, maintain fluid/electrolyte balance, and promote spontaneous closure. Somatostatin analogues have also been used in patients in an attempt to reduce fistula output and enhance spontaneous closure.Cited by: 6
http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.995.940&rep=rep1&type=pdf
NCP, Vol. 13, No. 2, April 1998 NUTRITION SUPPORT AND EC FISTULAS 61 Table 1.Influence of TPN on outcome in series of sequentially treated patients with EC fistulas Authors Sample size (a) Fistula Spontaneous closure (SE) Mortality (Q) tsQe Pre-TPN With TPN Pre-TPN With TPN Pre-TPN With TPN Himal et all4 66 25 Small bowel, exclusive 27 56 33 8
https://www.researchgate.net/publication/40688740_Management_of_Enterocutaneous_Fistulas
Despite advances in antimicrobial chemotherapy, nutritional support, and perioperative critical care, the development of an enterocutaneous fistula continues to represent a major therapeutic...
https://med.virginia.edu/ginutrition/wp-content/uploads/sites/199/2014/06/WillcuttsArticle.pdf
Kate Willcutts MS, RD, CNSD, Nutrition Support Specialist, University of Virginia Health System, Digestive Health Center of Excellence, Charlottesville, VA. Enterocutaneous (EC) fistulas, though relatively rare, are very challenging to manage. Multiple variables are used to define and classify EC fistulas, each of which must be
https://www.ucsfhealth.org/conditions/enterocutaneous-fistula
An enterocutaneous fistula (ECF) is an abnormal connection that develops between the intestinal tract or stomach and the skin. As a result, contents of the stomach or intestines leak through to the skin. Most ECFs occur after bowel surgery.
https://emedicine.medscape.com/article/1372132-overview
Mar 11, 2018 · A fistula is an abnormal communication between 2 epithelialized surfaces, with an enterocutaneous fistula (ECF) being an abnormal communication between the small or large bowel and the skin. An ECF can arise from the duodenum, jejunum, ileum, colon, or rectum.
https://med.virginia.edu/ginutrition/wp-content/uploads/sites/199/2015/11/Willcutts-November2005.pdf
Fistulas are different from ostomies in many ways; fistulas are not intentionally created and the mortality rate and risk of complications is much higher. Fistulas can originate from any part of the gastrointestinal (GI) tract. One type of fistula, the enterocutaneous (EC) fistula, is similar to an ostomy in terms of the nutritional man-
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