enterocutaneous


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enterocutaneous

 [en″ter-o-ku-ta´ne-us]
pertaining to or communicating with the intestine and the skin, or surface of the body.
enterocutaneous fistula one in which there is communication between the intestinal tract and the skin. Some fistulas are created surgically, with gastrostomy, esophagostomy, or colostomy. Others may result from surgical trauma, breakdown of an intestinal anastomosis, or erosions around a surgical drain or tube. Fistulas frequently occur at a suture line, may be complete or incomplete, and are most likely to develop in malnourished patients and in those with impaired blood supply to intestine, an obstruction distal to an anastomosis, carcinoma of the intestine, or an infected wound.
Patient Care. Care of the site of a fistula is similar to that of a surgically created stoma. Collection of the drainage can be accomplished by using a collection device designed for an ostomy patient. Care must be taken that the drainage is collected before it comes into contact with the skin. A skin barrier such as Stomahesive is used to prevent excoriation.

Patient care also must include monitoring of the patient for signs of fluid and electrolyte imbalance. The amount of drainage and its characteristics should be noted and reported.

enterocutaneous

(ĕn″tĕr-ō-kū-tā′nē-ŭs)
Pert. to communication between the skin and intestine.
References in periodicals archive ?
Abdominal surgery is the commonest aetiological factor for enterocutaneous fistula (2).
Other complications include residual abscess in 10 patients, enterocutaneous fistulae in 3 patients, anastomotic leakage in 2 patients, DVT in 2 patients and others in 2 patients (table 4).
Specified Morbidity (n = 71) Incidence Surgical Site Infection 16 (23%) Anastomotic Leak 13 (18%) Nosocomial Pneumonia 10 (14%) Acute Kidney Injury 9 (13%) Iatrogenic Injury 7 (10%) Enterocutaneous Fistulae 3 (4%) Iatrogenic Pneumothorax 2 (3%) Mesh Sepsis 2 (3%) Acute Coronary Syndrome 2 (3%) Other * 5 (7%) * Other: Central line sepsis (1), Bowel evisceration (1), Deep vein thrombosis (1), Biloma formation (1), Haemorrhage from colostomy (1) Table 4.
Here, we report a case involving a chronic enterocutaneous fistula (ECF) for 24 months that was treated using hypertonic saline injection within the duodenal mucosa and use of fibrin glue as an adhesive to ensure rapid closure.
Gelb, "Venous oxygen embolism produced by injection of hydrogen peroxide into an enterocutaneous fistula," Anesthesia and Analgesia, vol.
The criteria for special reconstruction techniques include performing on large defects, in absence of stable skin coverage, the recurrence of the defect after prior closure attempts, any infected or exposed mesh, systemic compromises, local tissue compromises (irradiation, corticosteroid), or concomitant visceral complications (enterocutaneous fistula).
Reimbursement criteria Covered drugs Treatment of fistulising Crohn's disease in Infliximab (Remicade[R]) patients with actively draining perianal Adalimumab (Humira[R]) disease or enterocutaneous fistula(e) that have recurred or persisted despite a course of antibiotic therapy (ciprofloxacin and- or metronidazole) and immunosuppressive therapy (azathioprine or 6- mercaptopurine).
A total of 15 (15%) patients were kept on ATT under observation, Of these 7(7%) were diagnosed with Ileocaecal mass, 5 (5%) with enterocutaneous fistula, and 3(3%) had sub-acute intestinal obstruction.
But, necessary hygienic measures is required to be maintained in surgical site to prevent post-operative complications like wound sepsis, enterocutaneous fistulas, chronic prosthetic infection etc (Kim et al., 2014; Reynvoet et al., 2015).
Common complications from open surgical management include enterocutaneous fistulae or wound infection
Despite the fact that enterocutaneous fistula formation that occurs in strangulated cases is a rare complication, it might still occur in delayed and neglected cases (4).