Conservative treatment of patients with small bowel fistula

Vodyasov A.V.

Sklifosovsky Research Institute of Emergency Care

Kopaliani D.M.

Sklifosovsky Research Institute of Emergency Care;
Russian Medical Academy for Continuous Professional Education

Yartsev P.A.

Sklifosovsky Research Institute for Emergency Care

SPIN RSCI: 4044-9661
Scopus AuthorID: 55970485700
ResearcherID: P-9151-2017
ORCID: 0000-0003-1270-5414

Kaloeva O.Kh.

Sklifosovsky Research Institute of Emergency Care

Conservative treatment of patients with small bowel fistula

Authors:

Vodyasov A.V., Kopaliani D.M., Yartsev P.A., Kaloeva O.Kh.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(4): 78‑84

DOI: 10.17116/hirurgia202104178

Downloaded: 109

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Vodyasov AV, Kopaliani DM, Yartsev PA, Kaloeva OKh. Conservative treatment of patients with small bowel fistula. Pirogov Russian Journal of Surgery. 2021;(4):78‑84. (In Russ.)
https://doi.org/10.17116/hirurgia202104178

Подписка 2025 (Pirogov Russian Journal of Surgery)

Close metadata

OBJECTIVE

To describe conservative treatment of patients with small bowel fistula.

MATERIAL AND METHODS

We report 3 patients with small bowel fistula.

CONCLUSION

A personalized approach in patients with small bowel fistula and a modified treatment technique were effective for conservative treatment. Moreover, this approach was valuable to avoid surgical intervention.

Keywords:

small bowel fistula

conservative treatment

VAC system

Authors:

Vodyasov A.V.

Sklifosovsky Research Institute of Emergency Care

Kopaliani D.M.

Sklifosovsky Research Institute of Emergency Care;
Russian Medical Academy for Continuous Professional Education

Yartsev P.A.

Sklifosovsky Research Institute for Emergency Care

SPIN RSCI: 4044-9661
Scopus AuthorID: 55970485700
ResearcherID: P-9151-2017
ORCID: 0000-0003-1270-5414

Kaloeva O.Kh.

Sklifosovsky Research Institute of Emergency Care

Received:

11.08.2020

Accepted:

25.11.2020

List of references:

Abakumov MM, Bulava GV. Damage to the chest, abdomen and immune system. M. 2006. (In Russ.).
Babadzhanov BR, Teshaev OR, Beketov GI. New approaches to the treatment of postoperative peritonitis. Vestnik khirurgii im. I.I. Grekova. 2002;161(4): 25-28. (In Russ.).
Ferna’ndez ER, Cornalo AO, Gonza’lez D, et al. (1992) Nuevo enfoque en el tratamiento de las fı’stulas enterocuta’neas postquiru’rgicas. Rev Argent Cirug. 62:117-127.
Chapman R, Foran R, Dunphy E. Management of intestinal fistulas. Am J Surg. 1964;108:157-163.
Draus JM, Huss BS, Harty NJ, et al. Enterocutaneous fistula: Are treatments improving? Surgery. 2006;140:570-576, discussion 576-578.
Panteleev VS, Ishtukov RR, Dorofeev VD, Loginov MO, Zaripov ShA. Improving the methods of treatment of unformed duodenal and high small intestinal fistulas. Acta Biomedica Scientifica. 2017;2(6):142-145. (In Russ.).
Taggarshe D, Bakston D, Jacobs M, McKendrick A, Mittal VK. Management of enterocutaneous fistulae: A 10 years experience. World Journal of Gastrointestinal Surgery. 2010;2(7):242-246.
Krieger AG, Kubyshkin VA, Berelavichus SV, Gorin DS, Kaldarov AR, Gogia BSh, Ikramov RZ, Akhtanin EA, Matushevskaya VN, Sokolova EA. Surgical treatment of patients with small intestinal fistulas. Khirurgiya. Zhurnal im. N.I. Pirogova. 2015;12;86-95. (In Russ.).
Baichorov EKh, Vafin AZ, Kudzheva FA. Comprehensive treatment of unformed small intestinal fistulas. Medical Bulletin of the North Caucasus. 2006;3:7-9. (In Russ.).
Makhdoom ZA, Komar MJ, Still CD. Nutrition and enterocutaneous fistulas. J Clin Gastroenterol. 2000;31(3):195-204.
Edmunds HL, Williams GM, Welch CE. External fistulas arising from the gastrointestinal tract. Ann Surg. 1960;152(3):445-471.
Chernousov AF, Khorobrykh TV, Ishchenko OV, Vasnev OS. The use of fibrin glue in the treatment of patients with unformed intestinal fistulas. Bulletin of Surgical Gastroenterology. 2009;3:21-28. (In Russ.).
Campos ACL, Andrade DF, Campos GMR, et al. A multivariate model to determine prognostic factors in gastrointestinal fistulas. J Am Coll Surg. 1999;188:483-490.
Chamberlain RS, Kaufman HL, Danforth DN. Enterocutaneous fistula in cancer patients: etiology, management, outcome and impact on further treatment. Am Surg. 1998;64:1204-1211.
Schein M, Decker GAG. Postoperative external alimentary tract fistulas. Am J Surg. 1991;161:435-438.
Sheik AS, Mustafa N, Mehmood Y, et al. Planned reoperation — a better choice management for ileal enterocutaneous fistula. Rawal Med J. 2010;35:72-74.
Altomare DF, Serio G, Pannarale OC, et al. Prediction of mortality by logistic regression analysis in patients with postoperative enterocutaneous fistulae. Br J Surg. 1990;77:450-453.
Levy E, Frileux P, Cugnenc PH, et al. High-output external fistulae of the small bowel: management with continuous enteral nutrition. Br J Surg. 1989;76:676-679.
Li J, Ren J, Zhu W, et al. Management of enterocutaneous fistulas: 30-year clinical experience. Chin Med J. 2003;116(2):171-175.
Hollington P, Maurdsley J, Lim W, et al. An 11 year experience of enterocutaneous fistula. Br J Surg. 2004;91:1046-1051.
Mutignani M, Dioscoridi L, Dokas S, Aseni P, Carnevali P, Forti E, Manta R, Sica M, Tringali A, Pugliese F. Endoscopic multiple metal stenting for the treatment ofenteral leaks near the biliary orifice: A novel effectiverescue procedure. World J Gastrointestinal Endoscopy. 2016;8(15):533-540.
Lee HL, Cho JY, Cho J-H, Park JJ, Kim CG, Kim SH, Han J-H. Efficacy of the Over-the-Scope Clip System for Treatment of Gastrointestinal Fistulas, Leaks, and Perforations: A Korean Multi-Center Study. Clinical Endoscopy. 2018;51:61-65.
Kochhar GS, Shen B. Endoscopic treatment of leak at the tip of the “J” ileal pouch. Endoscopy International Open. 2017;5(1):E64-E66.
Khubutia MSh, Zhiganov AV, Pakhomova GV, Rogal ML, Yartsev PA. Prevention and treatment of external intestinal fistula. Bulletin of Surgical Gastroenterology. 2010;3;17-22. (In Russ.).

Close metadata