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New Indian Journal of Surgery

Volume  9, Issue 6, Nov-Dec 2018, Pages 703-706
 

Original Article

Entrocutanaeous Fistula in Patients undergoing Exploratory Laparotomy as Emergency Surgery: Five Years Experience

Yatin Ghosh1, Navneet Kaur2, Gurinderjit Singh Nagi3, Tejinder Pal Singh4, R. Katoch5

1,3Associate Professor 2Assistant Professor 4Senior Resident 5Professor, Department of Surgery, Punjab Institute of Medical Sciences, Garha Road, Jalandhar City, Punjab 144006, India.

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9618.1

Abstract

  A fistula is an abnormal connection between two epitheleal surfaces. Enterocutaneous fistula could result from intestinal disease extending to adjacent viscira, extraintestinal diease spreading to intestines,  injury to intestine or from anastomotic dehiscence. Most of these fistulas are acquired and occur in the post operative period. These fistulas could be due to various causes such as low immunity of the patient at the time of presentation, complications of inflammatory bowel disease , adhesiolysis , resection and anastamosis of the bowel or may the result of faulty surgical technique resulting in anastomotic leak. Whatever be the reason, entero-cutnaeous fistulae are the most dreaded complication feared by surgeons and increases chances of litigation. Management of these fistulas require a multidisciplinary approach. 

Keywords: Enterocutnaeous; Epithelized Surface; Acquired Fistula; Management; Multidisciplinary.


Corresponding Author : Gurinderjit Singh Nagi, Associate Professor, Department of Surgery, Punjab Institute of Medical Sciences, Garha Road, Jalandhar City, Punjab 144006, India