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By Inessa Yurtsev RN graduated in 2008 from SFSU with Bachelor degree in nursing. I work at Kaiser Santa Clara hospital on medical surgical floor. I plan to go to Grad school
J B D'Harcour, J H Boverie, R F Dondelinger
OBJECTIVE: Our objective was to evaluate retrospectively the results of percutaneous catheter management of enterocutaneous fistulas. SUBJECTS AND METHODS: From 1983 to 1995, 147 patients with enterocutaneous fistulas were referred to our department after at least 1 month of unsuccessful medical treatment. One hundred eleven of these patients (76%) had developed fistulas after surgery. Ninety-three of 147 patients (63%) had high-output fistulas, and 54 (37%) had low-output fistulas...
July 1996: AJR. American Journal of Roentgenology
Matthew C Byrnes, Andrew Riggle, Greg Beilman, Jeffrey Chipman
BACKGROUND: Enterocutaneous fistulas often are associated with large abdominal wall wounds. Successful skin grafting of these sites is difficult, as the bed is constantly bathed by enteric contents. A method to graft these sites successfully would provide an important advance in their treatment. METHODS: The medical records of patients undergoing skin grafting of a site around an enterocutaneous fistula were reviewed. The amount of fistula output at the time of grafting was recorded...
December 2010: Surgical Infections
J Li, J Ren, X Wang, J Gu, J Jiang
OBJECTIVE: To find out the method for promoting spontaneous heal of enterocutaneous fistula. METHODS: Experimentally, we investigated the effect of rhGH on wound granulation and intestinal mucosa. Clinically, combined somatostatin and rhGH was compared with somatostatin in the treatment of enteric fistula. RESULTS: Animal studies demonstrated that rhGH was effective to increase the content of hydroxyproline and amount of fibroblast cell in wound granulation...
June 2000: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Howard Ross
The management of the patient with an enterocutaneous fistula is complex and requires coordinated care on many fronts for successful elimination. With optimal nonoperative management a fistula may heal spontaneously, the majority within the first 4 weeks after development. Definitive surgical treatment is best achieved with resection of the bowel containing the fistula and anastomosis of healthy normal bowel. The timing of definitive surgery appears to be optimal months after development, if tolerated. Death rates are low after surgery and patients who experience the recurrence of a fistula after initial attempt at closure can ultimately still be cured...
September 2010: Clinics in Colon and Rectal Surgery
John M Draus, Sara A Huss, Niall J Harty, William G Cheadle, Gerald M Larson
BACKGROUND: We studied the etiology, treatment, and outcome of enterocutaneous fistulas in 106 patients to evaluate our current practice and the impact of newer therapies-octreotide, wound vacuum-assisted closure (VAC), and fibrin glue-on clinical outcomes. Review of the literature and our own 1990 study indicate a mortality rate of 5% to 20% for enterocutaneous fistula, and a healing rate of 75% to 85% after definitive surgery. METHODS: We reviewed all cases of gastrointestinal-cutaneous fistula from 1997 to 2005 at 2 large teaching hospitals...
October 2006: Surgery
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