J Korean Soc Traumatol.  2016 Dec;29(4):195-200. 10.20408/jti.2016.29.4.195.

Enteroatmospheric Fistula Associated with Open Abdomen

Affiliations
  • 1Department of Trauma Surgery, Gachon University Gil Medical Center, Incheon, Korea. choikangkook@gilhospital.com

Abstract

Enteroatmospheric fistula (EAF) is one of the most devastating complications in patients with an open abdomen and has associated morbidity and mortality rates. No gold standard therapy has been established for the treatment of EAF, and thus, treatment decision making is dependent on the experience of medical staff. Nevertheless, treatment involves the following; 1) sepsis must be managed, 2) sufficient nutritional support must be provided, and 3) effluent must be isolated from skin and open viscera. Here the authors present the case of a 29-year-old man who developed enteroatmospheric fistula after damage control laparotomy.

Keyword

Enteroatmospheric fistula; Open abdomen; Negative pressure wound therapy

MeSH Terms

Abdomen*
Adult
Decision Making
Fistula*
Humans
Laparotomy
Medical Staff
Mortality
Negative-Pressure Wound Therapy
Nutritional Support
Sepsis
Skin
Viscera
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