ENTEROCUTANEOUS FİSTULA
TURGAY ÖZER, SELÇUK ARDA, N ZAFER UTKAN, F CAHİT İÇLİ, MUSTAFA DÜLGER
Cumhuriyet Üniversitesi Tıp Fakültesi, Uygulama ve Araştırma Hastanesi Genel Cerrahi A.B.D., SİVAS
Abstract
In this study, 29 patients with enterocutaneous fistula treated in the Department of General Surgery of the Medical Faculty Hospital of Application and Investigation of Cumhuriyet University, between 1980 and 1991, were evaluated. For all of the patient's intravenous hyperalimentation and in appropriate cases eternal and oral feeding support was supplied.
For 21 patients (72%) conservative and f or 8 patients (28%) surgical intervention was directed in order to close the fistula. 4 patients (19%) from the group to whom conservative treatment and 4 patients (50%) to whom surgical intervention was directly applied, so a total number of 8 (28%) patients died. While the first reason of mortality in our patients was intraabdominal sepsis (75%), the second one was cardiorespiratuary (25%) complications.
While spontaneous closure rate was 55% in fistulas with high output, ft was determined as 61% in the fistulas with low output. No significant difference in mortality rate according to output of fistula was noticed. Though the spontaneous closure rate was 71% and mortality rate 12 % in simple fistulas, these rates were determined as 42 and 5% respectively in complicated fistulas.