Duodenocutaneous fistula treatment - Combined approach, regarding a case

  • Federico De Simone Facultad de Medicina, Universidad de la República
  • Pablo Machado Facultad de Medicina, Universidad de la República
Keywords: Enterocutaneous fistula, biological glues, sepsis

Abstract

Gastrointestinal fistulae are defined as abnormal communications between hollow organs or between a hollow organ and the skin. Fistulas generate a high morbimortality. Between 80 and 90 % are secondary to a surgical procedure, and between 10 and 20 % are spontaneous (related to radiotherapy, inflammatory bowel disease, cancer, among others). Sepsis represents the main cause of death among those patients who develop a gastrointestinal fistula regardless of the cause of origin of the fistula. The goal of this article is to present a first case in Uruguay of a high output duodenocutaneous fistula, and describe its resolution, which included a combined medical-surgical-endoscopic approach.

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Author Biographies

Federico De Simone, Facultad de Medicina, Universidad de la República

Ex Asistente de la Clínica de Gastroenterología, Facultad de Medicina, Udelar. Jefe del servicio de endoscopía Ce.V.En (Centro de referencia regional Olympus en Endoscopía Digestiva), MUCAM.

Pablo Machado, Facultad de Medicina, Universidad de la República

Gastroenterólogo, ex residente de la Clínica de Gastroenterología, Facultad de Medicina, Udelar. Servicio de endoscopía Ce.V. MUCAM.

Tapa de Anales de la Facultad de Medicina
Published
2016-09-20
How to Cite
De Simone, F., & Machado, P. (2016). Duodenocutaneous fistula treatment - Combined approach, regarding a case. Anales De La Facultad De Medicina, 3(1), 61-65. Retrieved from https://revistas.udelar.edu.uy/OJS/index.php/anfamed/article/view/192
Issue
Vol. 3 No. 1 (2016)
Section
Casos clínicos

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