Pioderma gangrenoso y fístulas enterocutáneas tras anastomosis ileoanal con reservorioGangrenous pyoderma and enterocutaneous fistulas after ileal. Introducción: la baja prevalencia de las fístulas enterocutáneas (FEC) en los pacientes con enfermedad de Crohn (EC) justifica la escasez de. Necesidad de formar unidades funcionales especializadas en el manejo médico- quirúrgico de pacientes con fístulas enterocutáneas y fracaso intestinal.

Author: Yozshubar Nira
Country: Jordan
Language: English (Spanish)
Genre: Education
Published (Last): 14 June 2011
Pages: 155
PDF File Size: 17.90 Mb
ePub File Size: 7.25 Mb
ISBN: 365-2-32212-512-3
Downloads: 93329
Price: Free* [*Free Regsitration Required]
Uploader: Neramar

There was a problem providing the content you requested

Management of intestinal fistulas. The majority of these close spontaneously or with skin care, antibiotics and fluids. Therefore, neither medical nor entreocutaneas treatments have shown a high percentage of ECF closure. The advantages of enteral over parenteral nutrition PN as regards physiological aspects, less morbidity, and cost reduction are widely known [8] – [9] However in complex cases, PN is difficult to avoid.

The aim of this research is to present the results of a systematized management of this complication, to asses the use ehterocutaneas a vacuum system in local treatment of the lesion and to determine factors influencing the evolution of fistulized patients.


Discussion ECF rarely responds to medical treatment and a high percentage of patients ultimately require surgical treatment Output control was obtained in cases Treatment of high-output enterocutaneous fistulas with a vacuum-compaction device.


Evaluation of the effectiveness of octreotide in the conservative treatment of postoperative enterocutaneous fistulas.

In this series, as in others [24], sepsis, multiple lesions and fistu,as wall defects have been statistically significant mortality factors.

There is little experience with biological drugs in these types of fistulas, but their use is reasonable, especially in patients with moderate-severe disease activity. J Crohns Colitis ;4: Obviously, boththe large number of variables and, consequently, the unlikelihood to perform out comparative studies make it difficult to reach firm conclusions. Collection bag or simple dressing were indicated in the remaining 10 cases with low output fistulas.

They were treated with antibiotics, immunosuppressants and even surgery.

Categorical variables were analyzed using the chi-square or Fisher’s exact test when suitable. Infliximab led to complete closure in 1 of 9 patients with spontaneous fistula and 2 of 7 patients with postoperative fistulas.

The use of vacuum-assisted closure of abdominal wounds: British Journal of Surgery ;81, J Med Case Reports ;5: Management were performed using an own protocol, in accordance with Chapman’s Stages [2], which have been already presented in previous publications [1].

Worl J Surg ; Ostomy was performed to 4 of them, leaving definitive reconstruction for further surgery. Enterocutaneous fistulas enterocutaneax Crohn’s disease: Clinical signs of ECF were described as the passage of gas or feces through an external orifice as enterocutaneaz as the presence of abdominal pain.


Depending on the type of fistula, anti-TNF treatment led to closure of the fistula in fitulas of 14 spontaneous fistulas and 2 of 10 postoperative fistulas. Infliximab as a therapy for non-Crohn’s enterocutaneous fistulae. Global healing was possible in patients of the series The data obtained in our study were obtained from a retrospective series.

Sepsis, multiple lesions and abdominal wall defect were negatives prognoses factors. A management protocol by stages was applied. They rarely respond to medical treatment and ultimately require surgical treatment 2.

Seventy six cases initially presented sepsis The second European evidence-based consensus on the diagnosis and management of Crohn’s disease: The objective is to bring a useful tool to afford this problem in the current practice and to change enterocutanes information about it.

Variables were faced with the mortality event using program SPSS version Int J Colorectal Dis enterocutanwas The importance of nutritional support for successful treatment in a coordinated way, using parenteral and enteral route, either by naso-jejunal tube, jejunostomy or fistuloclysis, is clear. Therefore, this may be a treatment strategy prior to surgery in a select group of patients.