Management of Gastrointestinal Cutaneous Fistulae.
Background: -Gastrointestinal cutaneous fistula G.I.C.F. occur either postoperative or spontaneous, it is a major complication to patients & surgeons together,, still have significance incidence of morbidity’ & mortality.& it needs specific management. Ainu-To study the causes of the fis...
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| Format: | Article |
| Language: | English |
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College of Medicine University of Baghdad
2007-10-01
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| Series: | مجلة كلية الطب |
| Subjects: | |
| Online Access: | http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1347 |
| _version_ | 1797369993596239872 |
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| author | Munthir A. A. Alobaidi |
| author_facet | Munthir A. A. Alobaidi |
| author_sort | Munthir A. A. Alobaidi |
| collection | DOAJ |
| description | Background: -Gastrointestinal cutaneous fistula G.I.C.F. occur either postoperative or spontaneous, it is a major complication to patients & surgeons together,, still have significance incidence of morbidity’ & mortality.& it needs specific management.
Ainu-To study the causes of the fistula, to study the methods of treatment either medical or surgical with or without the use of total parenteral nutrition. T.P.N.
Patients& methods: -a prospective study done on 61 patients, divided into male &female, patients. G.I.C.F.were divided into high output & low output fistulae, then an attempt to find the causes of the fistulae & the type of treatment both conservative &surgical treatment, also to study the effect of the use of T.P.N.
Result:-45 patients were male &16 were female. Age range 13—58 years. The most common cause of the fistula M’as missile injury 39(63.93%)patients, followed by iatrogenic 6 (9.83%) then carcinoma of colon 6(9.83%).
59(96.72%) patients developed fistula postoperative, & only 2(3.27%) patients developed the fistula spontaneous. The most common site of the fistula M’as the ileum 22(30.06%) patients; the least common site M’as the esophagus 2(3.27%).
32 (52.45%) patients were with high output fistula. 29(47.54%) patients were with low output fistula. Spontaneous closure rate M’as 57.37%, total number of patients treated by conservative methods were39, while the total number of patients treated by surgery were22.
89.74% closure rate by conservative treatment, closure rate by surgical treatment were63.63%..The mortality rate M’as 12 (19.67%) patients.
Conclusion: -spontaneous closure rate of the fistula is high, the conservative treatment gave higher closure rate than the surgical treatment. The use of T.P.N.& octreotide decrease the morbidity & mortality. |
| first_indexed | 2024-03-08T17:55:56Z |
| format | Article |
| id | doaj.art-25f5179d0ed6448c85b6cfc0c620c4e2 |
| institution | Directory Open Access Journal |
| issn | 0041-9419 2410-8057 |
| language | English |
| last_indexed | 2024-03-08T17:55:56Z |
| publishDate | 2007-10-01 |
| publisher | College of Medicine University of Baghdad |
| record_format | Article |
| series | مجلة كلية الطب |
| spelling | doaj.art-25f5179d0ed6448c85b6cfc0c620c4e22024-01-02T04:58:08ZengCollege of Medicine University of Baghdadمجلة كلية الطب0041-94192410-80572007-10-01493Management of Gastrointestinal Cutaneous Fistulae.Munthir A. A. Alobaidi0Department of Surgery Baghdad College of Medicine.Background: -Gastrointestinal cutaneous fistula G.I.C.F. occur either postoperative or spontaneous, it is a major complication to patients & surgeons together,, still have significance incidence of morbidity’ & mortality.& it needs specific management. Ainu-To study the causes of the fistula, to study the methods of treatment either medical or surgical with or without the use of total parenteral nutrition. T.P.N. Patients& methods: -a prospective study done on 61 patients, divided into male &female, patients. G.I.C.F.were divided into high output & low output fistulae, then an attempt to find the causes of the fistulae & the type of treatment both conservative &surgical treatment, also to study the effect of the use of T.P.N. Result:-45 patients were male &16 were female. Age range 13—58 years. The most common cause of the fistula M’as missile injury 39(63.93%)patients, followed by iatrogenic 6 (9.83%) then carcinoma of colon 6(9.83%). 59(96.72%) patients developed fistula postoperative, & only 2(3.27%) patients developed the fistula spontaneous. The most common site of the fistula M’as the ileum 22(30.06%) patients; the least common site M’as the esophagus 2(3.27%). 32 (52.45%) patients were with high output fistula. 29(47.54%) patients were with low output fistula. Spontaneous closure rate M’as 57.37%, total number of patients treated by conservative methods were39, while the total number of patients treated by surgery were22. 89.74% closure rate by conservative treatment, closure rate by surgical treatment were63.63%..The mortality rate M’as 12 (19.67%) patients. Conclusion: -spontaneous closure rate of the fistula is high, the conservative treatment gave higher closure rate than the surgical treatment. The use of T.P.N.& octreotide decrease the morbidity & mortality.http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1347-G.I.C.F., causes, & treatment & the use of T.P.N. |
| spellingShingle | Munthir A. A. Alobaidi Management of Gastrointestinal Cutaneous Fistulae. مجلة كلية الطب -G.I.C.F., causes, & treatment & the use of T.P.N. |
| title | Management of Gastrointestinal Cutaneous Fistulae. |
| title_full | Management of Gastrointestinal Cutaneous Fistulae. |
| title_fullStr | Management of Gastrointestinal Cutaneous Fistulae. |
| title_full_unstemmed | Management of Gastrointestinal Cutaneous Fistulae. |
| title_short | Management of Gastrointestinal Cutaneous Fistulae. |
| title_sort | management of gastrointestinal cutaneous fistulae |
| topic | -G.I.C.F., causes, & treatment & the use of T.P.N. |
| url | http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1347 |
| work_keys_str_mv | AT munthiraaalobaidi managementofgastrointestinalcutaneousfistulae |