Accession Number : ADA630331


Title :   Historical Perspectives in the Care of Patients with Enterocutaneous Fistula


Descriptive Note : Journal article


Corporate Author : ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX


Personal Author(s) : Lundy, Jonathan B ; Fischer, Josef E


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a630331.pdf


Report Date : 01 Sep 2010


Pagination or Media Count : 10


Abstract : Evidence can be found throughout surgical history of how devastating an enterocutaneous fistula (ECF) can be for both patient and surgeon. From antiquity, this complication of abdominal surgery, malignancy, radiation, trauma, or inflammatory processes has been a significant challenge to surgeons due to high associated mortality and significant morbidity. An ECF causes dehydration, malnutrition, skin excoriation, and sepsis, and has profound psychological effects on the patient. Recent mortality rates of patients suffering an ECF approach 20%. The authors illustrate the history of management of patients with ECF and discuss advances in perioperative care including parasurgical care, nutrition, wound care, and the history of surgical techniques.


Descriptors :   *ABDOMEN , *FISTULAS , *SURGERY , *WOUNDS AND INJURIES , CLINICAL MEDICINE , COLON , EXPOSURE(PHYSIOLOGY) , HISTORY , INFLAMMATION , MORBIDITY , MORTALITY RATE , NUTRITION , PATIENTS , PHYSIOLOGICAL EFFECTS , RESPONSE(BIOLOGY) , TRAUMA


Subject Categories : Anatomy and Physiology
      Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE