Redefining “bowel regimen”: Pharmacologic strategies and nutritional considerations in the management of small bowel fistulas

Sara E. Parli, Carolyn Pfeifer, Douglas R. Oyler, Barbara Magnuson, Levi D. Procter

Research output: Contribution to journalReview articlepeer-review

9 Scopus citations

Abstract

Enterocutaneous fistulae (ECF) and enteroatmospheric fistulae (EAF) are difficult complications that primarily arise after abdominal surgical procedures. Development of an ECF or EAF carries significant mortality and morbidity. Effective management of patients with these disease states requires a multidisciplinary approach, which includes surgical, pharmacotherapeutic, and nutritional interventions. This review focuses on the medical and nutritional management of ECF/EAF, providing background on drug agents and nutritional strategies that may be helpful in reducing effluent volume, optimizing fistula healing, and maintaining nutritional health.

Original languageEnglish
Pages (from-to)351-358
Number of pages8
JournalAmerican Journal of Surgery
Volume216
Issue number2
DOIs
StatePublished - Aug 2018

Bibliographical note

Publisher Copyright:
© 2018

Keywords

  • Gastrointestinal agents
  • Intestinal fistula
  • Nutritional support

ASJC Scopus subject areas

  • Surgery

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