Use of Indirect Calorimetry in a Cohort of Patients with Enterocutaneous Fistula

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Historical perspectives in the care of patients with enterocutaneous fistula.

Evidence can be found throughout surgical history of how devastating an enterocutaneous fistula (ECF) can be for both patient and surgeon. From antiquity, this complication of abdominal surgery, malignancy, radiation, trauma, or inflammatory processes has been a significant challenge to surgeons due to high associated mortality and significant morbidity. An ECF causes dehydration, malnutrition,...

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Surgical Management of Enterocutaneous Fistula

Enterocutaneous (EC) fistula is an abnormal connection between the gastrointestinal (GI) tract and skin. The majority of EC fistulas result from surgery. About one third of fistulas close spontaneously with medical treatment and radiologic interventions. Surgical treatment should be reserved for use after sufficient time has passed from the previous laparotomy to allow lysis of the fibrous adhe...

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ژورنال

عنوان ژورنال: Journal of the American College of Surgeons

سال: 2017

ISSN: 1072-7515

DOI: 10.1016/j.jamcollsurg.2017.07.789