{"title":"肠瘘:20 名患者的表现、治疗方式和结果","authors":"Kasturi Bharadwaj, P V Dwarakanath Reddy","doi":"10.36106/ijsr/8500465","DOIUrl":null,"url":null,"abstract":"Background: Enterocutaneous stula (ECF) is a difcult condition managed in surgical wards and is associated with signicant morbidity and\nmortality. Sepsis, malnutrition, and electrolyte abnormality are the classical triad of complications of ECF. This study Aims & Objectives:\nexplores different treatment modalities and outcomes in SUM Hospital. All consecutive patients who Materials And Methods: developed or\npresented with ECF during the study period were included. The etiology, anatomic distribution, stula output, clinical course, complications,\npredictive factors for spontaneous closure, and outcomes for patients with ECF were studied. A tota Results: l of 20 patients were included in this\nprospective observational study, of which 13 were males and 7 were females. About 90% of ECFs were postoperative. The ileum was found to be\nthe most common site of ECF. Also, 50% of stulas were high and 50% were low. Serum albumin levels correlated signicantly with stula healing\nand mortality. Surgical intervention was required in 60% of patients. Conclusion: Most of the ECFs are encountered in the postoperative period.\nSerum albumin levels can predict stula healing and mortality. Conservative management should be the rst line of treatment. Mortality in patients\nwith ECF continues to be signicant and is commonly related to malnutrition and sepsis. Timely surgical intervention signicantly improves the\noutcomes.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"148 3","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"ENTEROCUTANEOUS FISTULA: PRESENTATION, TREATMENT MODALITIES, AND OUTCOMES IN 20 PATIENTS\",\"authors\":\"Kasturi Bharadwaj, P V Dwarakanath Reddy\",\"doi\":\"10.36106/ijsr/8500465\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Enterocutaneous stula (ECF) is a difcult condition managed in surgical wards and is associated with signicant morbidity and\\nmortality. Sepsis, malnutrition, and electrolyte abnormality are the classical triad of complications of ECF. This study Aims & Objectives:\\nexplores different treatment modalities and outcomes in SUM Hospital. All consecutive patients who Materials And Methods: developed or\\npresented with ECF during the study period were included. The etiology, anatomic distribution, stula output, clinical course, complications,\\npredictive factors for spontaneous closure, and outcomes for patients with ECF were studied. A tota Results: l of 20 patients were included in this\\nprospective observational study, of which 13 were males and 7 were females. About 90% of ECFs were postoperative. The ileum was found to be\\nthe most common site of ECF. Also, 50% of stulas were high and 50% were low. Serum albumin levels correlated signicantly with stula healing\\nand mortality. Surgical intervention was required in 60% of patients. Conclusion: Most of the ECFs are encountered in the postoperative period.\\nSerum albumin levels can predict stula healing and mortality. Conservative management should be the rst line of treatment. Mortality in patients\\nwith ECF continues to be signicant and is commonly related to malnutrition and sepsis. Timely surgical intervention signicantly improves the\\noutcomes.\",\"PeriodicalId\":14358,\"journal\":{\"name\":\"International journal of scientific research\",\"volume\":\"148 3\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International journal of scientific research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.36106/ijsr/8500465\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of scientific research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.36106/ijsr/8500465","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
ENTEROCUTANEOUS FISTULA: PRESENTATION, TREATMENT MODALITIES, AND OUTCOMES IN 20 PATIENTS
Background: Enterocutaneous stula (ECF) is a difcult condition managed in surgical wards and is associated with signicant morbidity and
mortality. Sepsis, malnutrition, and electrolyte abnormality are the classical triad of complications of ECF. This study Aims & Objectives:
explores different treatment modalities and outcomes in SUM Hospital. All consecutive patients who Materials And Methods: developed or
presented with ECF during the study period were included. The etiology, anatomic distribution, stula output, clinical course, complications,
predictive factors for spontaneous closure, and outcomes for patients with ECF were studied. A tota Results: l of 20 patients were included in this
prospective observational study, of which 13 were males and 7 were females. About 90% of ECFs were postoperative. The ileum was found to be
the most common site of ECF. Also, 50% of stulas were high and 50% were low. Serum albumin levels correlated signicantly with stula healing
and mortality. Surgical intervention was required in 60% of patients. Conclusion: Most of the ECFs are encountered in the postoperative period.
Serum albumin levels can predict stula healing and mortality. Conservative management should be the rst line of treatment. Mortality in patients
with ECF continues to be signicant and is commonly related to malnutrition and sepsis. Timely surgical intervention signicantly improves the
outcomes.