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Enterocutaneous Fistula: Open Repair after Unsuccessful Stenting—A Case Report

Enterocutaneous fistula (ECF) is an abnormal connection between the gastrointestinal tract and the skin; by some estimates, it represents 88.2% of all fistulae. It can either develop spontaneously due to underlying malignancy, inflammatory bowel disease, radiation exposure, or, more commonly, as a c...

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Detalles Bibliográficos
Autores principales: Mosenko, Valerija, Jurevičius, Saulius, Šileikis, Audrius
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8876532/
https://www.ncbi.nlm.nih.gov/pubmed/35208547
http://dx.doi.org/10.3390/medicina58020223
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author Mosenko, Valerija
Jurevičius, Saulius
Šileikis, Audrius
author_facet Mosenko, Valerija
Jurevičius, Saulius
Šileikis, Audrius
author_sort Mosenko, Valerija
collection PubMed
description Enterocutaneous fistula (ECF) is an abnormal connection between the gastrointestinal tract and the skin; by some estimates, it represents 88.2% of all fistulae. It can either develop spontaneously due to underlying malignancy, inflammatory bowel disease, radiation exposure, or, more commonly, as a complication of gastrointestinal surgery. A 75-year-old woman was treated for a small bowel enterocutaneous fistula that developed after laparoscopic cholecystectomy using a HANAROSTENT self-expanding metal stent (SEMS) to cover the fistula. Seven months later, the patient was discharged. For the following 2 years, the patient refused the reconstructive surgery until stent obstruction occurred. After optimizing the patient’s nutritional status, laparotomy and small bowel resection were performed successfully. The use of SEMS in fistulas of the lower gastrointestinal tract is a heavily debated and fairly under-researched topic, especially in the context of enterocutaneous fistulas. No international guidelines officially recommend using SEMS in the small bowel ECF.
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spelling pubmed-88765322022-02-26 Enterocutaneous Fistula: Open Repair after Unsuccessful Stenting—A Case Report Mosenko, Valerija Jurevičius, Saulius Šileikis, Audrius Medicina (Kaunas) Case Report Enterocutaneous fistula (ECF) is an abnormal connection between the gastrointestinal tract and the skin; by some estimates, it represents 88.2% of all fistulae. It can either develop spontaneously due to underlying malignancy, inflammatory bowel disease, radiation exposure, or, more commonly, as a complication of gastrointestinal surgery. A 75-year-old woman was treated for a small bowel enterocutaneous fistula that developed after laparoscopic cholecystectomy using a HANAROSTENT self-expanding metal stent (SEMS) to cover the fistula. Seven months later, the patient was discharged. For the following 2 years, the patient refused the reconstructive surgery until stent obstruction occurred. After optimizing the patient’s nutritional status, laparotomy and small bowel resection were performed successfully. The use of SEMS in fistulas of the lower gastrointestinal tract is a heavily debated and fairly under-researched topic, especially in the context of enterocutaneous fistulas. No international guidelines officially recommend using SEMS in the small bowel ECF. MDPI 2022-02-02 /pmc/articles/PMC8876532/ /pubmed/35208547 http://dx.doi.org/10.3390/medicina58020223 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Mosenko, Valerija
Jurevičius, Saulius
Šileikis, Audrius
Enterocutaneous Fistula: Open Repair after Unsuccessful Stenting—A Case Report
title Enterocutaneous Fistula: Open Repair after Unsuccessful Stenting—A Case Report
title_full Enterocutaneous Fistula: Open Repair after Unsuccessful Stenting—A Case Report
title_fullStr Enterocutaneous Fistula: Open Repair after Unsuccessful Stenting—A Case Report
title_full_unstemmed Enterocutaneous Fistula: Open Repair after Unsuccessful Stenting—A Case Report
title_short Enterocutaneous Fistula: Open Repair after Unsuccessful Stenting—A Case Report
title_sort enterocutaneous fistula: open repair after unsuccessful stenting—a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8876532/
https://www.ncbi.nlm.nih.gov/pubmed/35208547
http://dx.doi.org/10.3390/medicina58020223
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