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- Title
Considerations for the management of enterocutaneous fistula.
- Authors
Metcalf, Christine
- Abstract
Enterocutaneous fistula is an abnormal connection between the gastrointestinal tract and skin. Management includes early recognition and treatment of sepsis, reducing fluid and electrolyte homeostasis, nutrition support, wound management and a carefully timed surgical procedure. A multidisciplinary approach is required for successful management of these patients with one of the most challenging and resource-demanding aspects being local control of the effluent, requiring the skill and support of the specialist stoma care nurse. The inability to contain the fistula can be a source of morbidity for the patient, as they will experience pain and severe discomfort from the skin when leakages occur. Enterocutaneous fistula can result in intestinal failure, which is often fatal if not managed correctly.
- Subjects
INTESTINAL fistula; SEPTICEMIA prevention; ENTEROSTOMY nursing; OSTOMATES; SURGICAL complications; WOUND care; SOCIAL support; EARLY medical intervention
- Publication
British Journal of Nursing, 2019, Vol 28, Issue 5, pS24
- ISSN
0966-0461
- Publication type
Article
- DOI
10.12968/bjon.2019.28.5.S24