Fistuloclysis: A Novel Approach to the Management of Enterocutaneous Fistulae

The majority of enterocutaneous fistulae close spontaneously with supportive care. Nutritional support is an essential prerequisite to successful management and is frequently achieved parenterally. But the expense to sustain parenteral nutrition in these patients is significant and this may limit its availability in Developing Countries. We present a case of an enterocutaneous fistula that was managed under these difficult circumstances. Nutritional demands in this case were effectively met by fistuloclysis. This is a novel approach to the management of enterocutaneous fistulae that may be applicable to many patients, thereby avoiding the use of central vein parenteral nutrition and its attendant complications.