| Management of Enterocutaneous Fistula in the Open Abdomen |
| 개방성 복벽에 발생한 장피누공의 치료 |
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이승환*ㆍ장지영*ㆍ심홍진†ㆍ이윤진‡ㆍ이재길* |
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*연세대학교 의과대학 외과학교실, †연세대학교 원주의과대학 외과학교실, ‡세브란스병원 간호국 |
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Received: 21 March 2014 • Revised: 21 March 2014 • Accepted: 22 March 2014 |
| Abstract |
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Enterocutaneous fistula (ECF) is defined as an abnormal connection between the gas-trointestinal tract and the skin. The majority of ECFs result from surgery, while inflammatory bowel disease, trauma, malignancy, radiotherapy, and diverticulitis are other common causes. The management of ECFs is complex and challenging. We managed a case of high output ECF located in an open abdominal wound in a 67-year-old male. We controlled sepsis with antibiotics, corrected fluid and electrolyte imbalances, and provided nutritional support. To manage wound drainage we used negative pressure wound therapy with a suction pouch. After four months, we performed surgery to manage the ECF. At present, the patient is doing well without any complications. ( J Acute Care Surg 2014;4:39-42) |
| Key Words:
Enterocutaneous, Fistula, Negative-pressure wound therapy |
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