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Fistula-
Enteroenteric
An abnormal
connection between
organs Enterocutaneous
z .
Naming
Name based on participating anatomic components
Internal External
GI internal organ GI
tract peritoneal space tract Skin
retroperitoneal space
thorax
blood vessel (more common post-op)
z
Classifications
Surgical
Antibiotic
If healthy part of the intestine may be able to spare
If fistula in diseased part resection
Non Invasive:
Biologic therapies Immunosuppressant
Fibrin glue
Plug
Temporary ileostomy
z
Enterocutaneous
Diet:
NPO- during initial treatment and during source
control
nutrition support after fluid, electrolyte, vitamin
deficits
Fecaluria
Suprapubic pain
UTI resemblance
Malnutrition > in
enterocutaneous Low output (< 200 mL/24 h)
fistulas
1-1.5 g of protein/kg
30% kcal from lipids
Nutritionally
Reduced oral intake TPN
z
Nutritional Implications