Complex enterocutaneous fistula

Closure with rectus abdominis muscle flap

Peter Chang, Joseph Chun, John Bell

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Most enterocutaneous fistulas are caused by complications of abdominal surgery that may result from anastomotic failure, poor blood supply, or iatrogenic bowel injuries. Mortality rates are high when associated sepsis and malnutrition are uncontrolled. Fistulas that occur late and those that recur spontaneously present more difficulty and may close spontaneously in less than 30% of cases. Mortality rates in patients with complex enterocutaneous fistulas may reach 60% to 80%. When traditional conservative surgeries of fistulous tract excision, bowel mobilization, and resection with primary end-to-end anastomosis fail, a more aggressive approach is required. The rectus abdominis muscle flap has been extensively studied and used in a wide variety of abdominal, vaginal, and perineal repairs. We report successful closure of complex enterocutaneous fistulas with a rectus abdominis muscle flap in a complicated case.

Original languageEnglish (US)
Pages (from-to)599-602
Number of pages4
JournalSouthern Medical Journal
Volume93
Issue number6
StatePublished - 2000

Fingerprint

Intestinal Fistula
Rectus Abdominis
Muscles
Mortality
Malnutrition
Fistula
Sepsis
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Complex enterocutaneous fistula : Closure with rectus abdominis muscle flap. / Chang, Peter; Chun, Joseph; Bell, John.

In: Southern Medical Journal, Vol. 93, No. 6, 2000, p. 599-602.

Research output: Contribution to journalArticle

@article{63aa60b2d12247049f2cecddb7a3aa50,
title = "Complex enterocutaneous fistula: Closure with rectus abdominis muscle flap",
abstract = "Most enterocutaneous fistulas are caused by complications of abdominal surgery that may result from anastomotic failure, poor blood supply, or iatrogenic bowel injuries. Mortality rates are high when associated sepsis and malnutrition are uncontrolled. Fistulas that occur late and those that recur spontaneously present more difficulty and may close spontaneously in less than 30{\%} of cases. Mortality rates in patients with complex enterocutaneous fistulas may reach 60{\%} to 80{\%}. When traditional conservative surgeries of fistulous tract excision, bowel mobilization, and resection with primary end-to-end anastomosis fail, a more aggressive approach is required. The rectus abdominis muscle flap has been extensively studied and used in a wide variety of abdominal, vaginal, and perineal repairs. We report successful closure of complex enterocutaneous fistulas with a rectus abdominis muscle flap in a complicated case.",
author = "Peter Chang and Joseph Chun and John Bell",
year = "2000",
language = "English (US)",
volume = "93",
pages = "599--602",
journal = "Southern Medical Journal",
issn = "0038-4348",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Complex enterocutaneous fistula

T2 - Closure with rectus abdominis muscle flap

AU - Chang, Peter

AU - Chun, Joseph

AU - Bell, John

PY - 2000

Y1 - 2000

N2 - Most enterocutaneous fistulas are caused by complications of abdominal surgery that may result from anastomotic failure, poor blood supply, or iatrogenic bowel injuries. Mortality rates are high when associated sepsis and malnutrition are uncontrolled. Fistulas that occur late and those that recur spontaneously present more difficulty and may close spontaneously in less than 30% of cases. Mortality rates in patients with complex enterocutaneous fistulas may reach 60% to 80%. When traditional conservative surgeries of fistulous tract excision, bowel mobilization, and resection with primary end-to-end anastomosis fail, a more aggressive approach is required. The rectus abdominis muscle flap has been extensively studied and used in a wide variety of abdominal, vaginal, and perineal repairs. We report successful closure of complex enterocutaneous fistulas with a rectus abdominis muscle flap in a complicated case.

AB - Most enterocutaneous fistulas are caused by complications of abdominal surgery that may result from anastomotic failure, poor blood supply, or iatrogenic bowel injuries. Mortality rates are high when associated sepsis and malnutrition are uncontrolled. Fistulas that occur late and those that recur spontaneously present more difficulty and may close spontaneously in less than 30% of cases. Mortality rates in patients with complex enterocutaneous fistulas may reach 60% to 80%. When traditional conservative surgeries of fistulous tract excision, bowel mobilization, and resection with primary end-to-end anastomosis fail, a more aggressive approach is required. The rectus abdominis muscle flap has been extensively studied and used in a wide variety of abdominal, vaginal, and perineal repairs. We report successful closure of complex enterocutaneous fistulas with a rectus abdominis muscle flap in a complicated case.

UR - http://www.scopus.com/inward/record.url?scp=0034581717&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034581717&partnerID=8YFLogxK

M3 - Article

VL - 93

SP - 599

EP - 602

JO - Southern Medical Journal

JF - Southern Medical Journal

SN - 0038-4348

IS - 6

ER -