Therapeutic Options in Postoperative Enterocutaneous Fistula-A Retrospective Case Series.
Maria Mădălina DenicuDan CartuMihai CiorbagiuRaducu Nicolae NemesValeriu Marin ȘurlinSandu RamboiuLuminița Cristina ChiuțuPublished in: Medicina (Kaunas, Lithuania) (2022)
PECF management requires a multidisciplinary approach and is carried out according to an algorithm underlying well-established objectives and priorities. Conservative treatment including resuscitation, sepsis control, output control, skin protection, and nutritional support is the first line treatment; surgery is reserved for complications or permanent repair of fistulas that do not close under conservative treatment. The therapeutic strategy is adapted to topography, morphological characteristics and fistula output, age, general condition, and response to therapy.