Periaswamy Shanthini1, Rosy Adhaline Selvi2, Duraiswamy Sivakumar3, Ganesan Divyalakshmi4
BACKGROUND & OBJECTIVES
Enterocutaneous Fistulas (ECF) present as a deadly complication following abdominal surgery in the postoperative period. Over the past four decades, the mortality from enterocutaneous fistula has diminished from 40-60% to approximately 15-20%. This improvement in prognosis is due to recent advances in treatment modalities. In the present era, sepsis accounts for more than 80% of deaths.
41 cases of gastrointestinal fistulas were included; 34 patients were male and 7 patients were female and aged 40-60 years.
95% of the fistulas seen in the postoperative setting and maximum in the age group of 40-60. The incidence is high in males.
Concluded from the study that postoperative causes account for the majority of gastrointestinal fistulas and associated factors like sepsis, malnutrition, malignancy, low serum albumin level are the factors that prevent the spontaneous closure.