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Abstract

BACKGROUND: Most enterocutaneous fistulas are postoperative in origin. Sepsis, malnutrition, and hydroelectrolytic deficit are still the most important complications to which patients with enterocutaneous fistulas are exposed. Knowledge of prognostic factors related to specific outcomes is essential for therapeutic decision making processes. OBJECTIVE: A study of enterocutaneous fistula characteristics in terms of etiology, classification (Types), management with special consideration on risk factors necessating early intervention rather than delayed. PATIENTS AND METHODS: This study was conducted in the General Surgical department in Al-Imamain Al Kadhimain Medical City at Baghdad, Iraq from March 2018 to August 2020 .Fifty patients with enterocutaneous fistula were included in the study . Assessment of fistula site, output, and associated sepsis was done with focusing on the factors that require surgical intervention. RESULTS: 50 patient were included in this study, 35 male (70%) and 15 female (30%) mean age was 45±12.4 yrs., Mean BMI was 30.5±4.2.  20 (40%) of the patients had fistula in the jejunum, while 25 (50%) in the ileum and the other 5 (10%) had colonic fistulas. 29 (58%) of patients had high output fistula, while 21 (42%) had low output fistula. Sepsis was present in 21 patients (42%). 12 out of 20 (60%) of patients with jujenal fistula needed surgical intervention, also 15 out of 29 (51.7%) of patients with high output fistula needed surgical intervention, while of the 21 patients who developed sepsis, 14 (66.6%) failed to heal without surgery. CONCLUSION: High output fistulas, fistulas associated with sepsis, fistulas of the jujenum required mostly surgical management and had high morbidity.

DOI

10.52573/ipmj.2021.174624

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