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Berelavichus S.V.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

Struchkov V.Yu.

A.V. Vishnevsky Institute of Surgery, Moscow, Russia

Akhtanin E.A.

Institut khirurgii im. A.V. Vishnevskogo Ministerstva zdravookhraneniia i sotsial'nogo razvitiia RF, Moskva

Management of patients with enterocutaneous fistulae

Authors:

Berelavichus S.V., Struchkov V.Yu., Akhtanin E.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2020;(6): 98‑103

DOI: 10.17116/hirurgia202006198

Read: 9690 times

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Table of contents

MANAGEMENT OF PATIENTS WITH ENTEROCUTANEOUS FISTULAE
MANAGEMENT OF PATIENTS WITH ENTEROCUTANEOUS FISTULAE

To cite this article:

Berelavichus SV, Struchkov VYu, Akhtanin EA. Management of patients with enterocutaneous fistulae. Pirogov Russian Journal of Surgery. 2020;(6):98‑103. (In Russ.)
https://doi.org/10.17116/hirurgia202006198

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
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Abstract:

Enterocutaneous fistula (ECF) is the most serious postoperative life-threating complication of various abdominal surgical interventions. Treatment of patients with ECF is associated with life-threatening complications including sepsis and septic shock, intestinal failure and severe water-electrolyte disorders that causes high mortality rates (35—75% according to national authors and 6—33% according to foreign colleagues). This issue is especially relevant in the cases of enteroatmospheric fistulae and high ECF with loss of intestinal contents of more than 500 ml per day. In the absence of correct conservative therapy, this quickly results progression of sepsis and development of multiple organ failure. Surgery without complex preoperative preparation in this period may be fatal and lead to clinical aggravation and death of patient in early postoperative period. Each patient requires an individual approach. However, there are general principles of treatment too. This literature review describes the main aspects of conservative treatment of patients with enteric fistulae.

Keywords:

enterocutaneous fistulae
enteroatmospheric fistulae
sepsis
intestinal failure
postoperative complications
nutritional support
parenteral nutrition
enterocutaneous fistulae
enteroatmospheric fistulae
sepsis
intestinal failure
postoperative complications
nutritional support
parenteral nutrition

Authors:

Berelavichus S.V.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

Struchkov V.Yu.

A.V. Vishnevsky Institute of Surgery, Moscow, Russia

Akhtanin E.A.

Institut khirurgii im. A.V. Vishnevskogo Ministerstva zdravookhraneniia i sotsial'nogo razvitiia RF, Moskva

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