Saudi Journal of Gastroenterology

: 2001  |  Volume : 7  |  Issue : 2  |  Page : 51--54

Enterocutaneous fistula

Oluwole Gholagunte Ajao, Mohammed Yahya Shehri 
 College of Medicine and Health Sciences Prof. O. G. Ajao and Dr. M Y. Shehri, King Khalid university and Asir Central Hospital, Saudi Arabia

Correspondence Address:
Oluwole Gholagunte Ajao
College of Medicine P.O. Box 641, Abha
Saudi Arabia

Based on the modality of treatment, historically the management of enterocutaneous fistula has been grouped into three periods. The era of antibiotics (1945-1960), the era of intensive nurse care (1960-1970) and the era of intravenous hyperalimentation (1970-1975). Schein«SQ»s modification of Sitges-Serra classification of enterocutaneous fistula is now preferred to the old classification of high-output type and low output type. A major cause of enterocutaneous fistula is technical failure. Serum level of short-turn over proteins such as albumin retinal-binding protein, thyroxin binding pre-albumin as serum transferring are predictors of mortality and spontaneous fistula closure. Immediate surgical correction of the fistula is not a priority of treatment. The control of sepsis and adequate nutrition are the two most important aspects of management. The use of somatostatin and octreotide has been shown to shorten the period of spontaneous closure of the fistula.

How to cite this article:
Ajao OG, Shehri MY. Enterocutaneous fistula.Saudi J Gastroenterol 2001;7:51-54

How to cite this URL:
Ajao OG, Shehri MY. Enterocutaneous fistula. Saudi J Gastroenterol [serial online] 2001 [cited 2021 Dec 1 ];7:51-54
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