Enterocutaneous 瘘
Overview
An enterocutaneous fistula (ECF) is an abnormal connection that develops between the intestinal tract or stomach and the skin. As a result, contents of the stomach or intestines leak through to the skin.
Most ECFs occur after bowel surgery. Other causes include infection, perforated peptic ulcer and inflammatory bowel diseases such as 克罗恩氏病 or ulcerative colitis. An ECF may also develop from an abdominal injury or trauma, such as a stabbing or gunshot.
Our approach to enterocutaneous fistula
UCSF offers state-of-the-art surgical repair and rehabilitation for patients with the most complicated abdominal conditions, including enterocutaneous fistulas. Depending on the patient's needs, the treatment team may include gastrointestinal surgeons, 营养学家, critical care specialists, plastic surgeons and infectious disease specialists, as well as nurses specializing in this disorder. Our experts work together to devise a treatment plan for each patient.
奖 & 识别
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Among the top hospitals in the nation
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One of the nation's best in gastroenterology & 胃肠道手术
迹象 & 症状
Enterocutaneous fistulas (ECFs) can cause contents of the intestines or stomach to leak through a wound or opening in the skin. 它还会导致:
- 脱水
- 腹泻
- 营养不良
诊断
Your doctor will conduct a thorough physical exam and may prescribe the following tests to confirm a diagnosis of enterocutaneous fistula (ECF) :
- 腹部CT扫描
- 钡灌肠, if the fistula involves the colon
- Barium swallow, also called an esophagram. This test is a series of X-rays of the esophagus. You drink a liquid containing barium, which coats the inside of your esophagus. The barium causes changes in the shape of the esophagus to show up on the X-rays.
- Fistulogram, which involves injecting contrast dye into the opening of the skin of an ECF and taking X-rays.
治疗
If the enterocutaneous fistula (ECF) doesn't heal on its own after a few weeks or months, a complex surgery is required to close the fistula and reconnect the gastrointestinal tract.
病人 with ECFs often need specialized 伤口护理, 营养al rehabilitation and physical rehabilitation.
In addition to surgeons, 护理专家, 营养, 重症护理医学, 伤口护理, 整形手术, pharmacology and infectious disease may be part of the treatment team.
At UCSF Medical Center, enterocutaneous fistulas are treated by specialists in the Complex Abdominal Surgery Program.
加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
