A Study on Causes and Management of Enterocutaneous Fistula

Prashanth, S (2019) A Study on Causes and Management of Enterocutaneous Fistula. Masters thesis, Coimbatore Medical College, Coimbatore.


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INTRODUCTION: Enterocutaneus fistula (ECF) is a result of complex intraperitoneal infection process. Even with modern and advanced surgical suturing techniques, staplers, fewer antibiotic therapy and modern investigations, mortality of the disease remains up to 50%. Though there is a reduction in the number of enterocutaneus fistulas post-operatively by percentage, once the fistula develops, morbidity and mortality are very high. The serious sequences lead us to study the disease at our set up and compare the results with international works. AIMS AND OBJECTIVES: Though enterocutaneous fistulas are primary and secondary this study focuses only on post-surgical enterocutaneous fistula. The aim of this study is to review various factors that are contributory in: Development of enterocutaneous fistulas, The course of this disease, Development and correction of complications, Successful treatment of the disease, Increased mortality and morbidity. METHODOLODGY: Patients having enterocutaneus fistulas and admitted in Government Coimbatore Medical College Hospital were observed and data were collected including details of patient's history, clinical findings, pathological and microbiological findings, conservative management, operative management, complications, and outcome. RESULTS: Observations and analysis of the data of present series was very interesting and important aspects were compared with standard series. Mortality was 27% in this study, mostly caused by sepsis, malnutrition and fluid and electrolyte abnormalities. 8 patients had spontaneous closure and 8 patients needed surgical closure. CONCLUSION: Patients can be helped to recover from this dreaded disease by early diagnosis and management of malnutrition, fluid and electrolyte imbalance, infection process and simultaneous medical diseases with definitive procedure following stabilisation of the patient.

Item Type: Thesis (Masters)
Additional Information: Reg.No.221611309
Uncontrolled Keywords: Enterocutaneous fistula, post-operative complication.
Subjects: MEDICAL > General Surgery
Depositing User: Subramani R
Date Deposited: 02 Sep 2019 07:22
Last Modified: 07 Sep 2019 05:43
URI: http://repository-tnmgrmu.ac.in/id/eprint/11410

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