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Technique Advances in Enteroatmospheric Fistula Isolation After Open Abdomen: A Review and Outlook

Enteroatmospheric fistula (EAF) after open abdomen adds difficulties to the management and increases the morbidity and mortality of patients. As an effective measurement, reconstructing gastrointestinal tract integrity not only reduces digestive juice wasting and wound contamination, but also allows...

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Autores principales: Huang, Jinjian, Ren, Huajian, Jiang, Yungang, Wu, Xiuwen, Ren, Jianan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7855170/
https://www.ncbi.nlm.nih.gov/pubmed/33553237
http://dx.doi.org/10.3389/fsurg.2020.559443
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author Huang, Jinjian
Ren, Huajian
Jiang, Yungang
Wu, Xiuwen
Ren, Jianan
author_facet Huang, Jinjian
Ren, Huajian
Jiang, Yungang
Wu, Xiuwen
Ren, Jianan
author_sort Huang, Jinjian
collection PubMed
description Enteroatmospheric fistula (EAF) after open abdomen adds difficulties to the management and increases the morbidity and mortality of patients. As an effective measurement, reconstructing gastrointestinal tract integrity not only reduces digestive juice wasting and wound contamination, but also allows expedient restoration of enteral nutrition and intestinal homeostasis. In this review, we introduce several technologies for the temporary isolation of EAF, including negative pressure wound therapy, fistuloclysis, fistula patch, surgical covered stent, three-dimensional (3D) printing stent, and injection molding stent. The manufacture and implantation procedures of each technique with their pros and cons are described in detail. Moreover, the approach in combination with finger measurement, x-ray imaging, and computerized tomography is used to measure anatomic parameters of fistula and design appropriate 3D printer-recognizable stereolithography files for production of isolation devices. Given the active roles that engineers playing in the technology development, we call on the cooperation between clinicians and engineers and the organization of clinical trials on these techniques.
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spelling pubmed-78551702021-02-04 Technique Advances in Enteroatmospheric Fistula Isolation After Open Abdomen: A Review and Outlook Huang, Jinjian Ren, Huajian Jiang, Yungang Wu, Xiuwen Ren, Jianan Front Surg Surgery Enteroatmospheric fistula (EAF) after open abdomen adds difficulties to the management and increases the morbidity and mortality of patients. As an effective measurement, reconstructing gastrointestinal tract integrity not only reduces digestive juice wasting and wound contamination, but also allows expedient restoration of enteral nutrition and intestinal homeostasis. In this review, we introduce several technologies for the temporary isolation of EAF, including negative pressure wound therapy, fistuloclysis, fistula patch, surgical covered stent, three-dimensional (3D) printing stent, and injection molding stent. The manufacture and implantation procedures of each technique with their pros and cons are described in detail. Moreover, the approach in combination with finger measurement, x-ray imaging, and computerized tomography is used to measure anatomic parameters of fistula and design appropriate 3D printer-recognizable stereolithography files for production of isolation devices. Given the active roles that engineers playing in the technology development, we call on the cooperation between clinicians and engineers and the organization of clinical trials on these techniques. Frontiers Media S.A. 2021-01-20 /pmc/articles/PMC7855170/ /pubmed/33553237 http://dx.doi.org/10.3389/fsurg.2020.559443 Text en Copyright © 2021 Huang, Ren, Jiang, Wu and Ren. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Huang, Jinjian
Ren, Huajian
Jiang, Yungang
Wu, Xiuwen
Ren, Jianan
Technique Advances in Enteroatmospheric Fistula Isolation After Open Abdomen: A Review and Outlook
title Technique Advances in Enteroatmospheric Fistula Isolation After Open Abdomen: A Review and Outlook
title_full Technique Advances in Enteroatmospheric Fistula Isolation After Open Abdomen: A Review and Outlook
title_fullStr Technique Advances in Enteroatmospheric Fistula Isolation After Open Abdomen: A Review and Outlook
title_full_unstemmed Technique Advances in Enteroatmospheric Fistula Isolation After Open Abdomen: A Review and Outlook
title_short Technique Advances in Enteroatmospheric Fistula Isolation After Open Abdomen: A Review and Outlook
title_sort technique advances in enteroatmospheric fistula isolation after open abdomen: a review and outlook
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7855170/
https://www.ncbi.nlm.nih.gov/pubmed/33553237
http://dx.doi.org/10.3389/fsurg.2020.559443
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