Clin Colon Rectal Surg 2010; 23(3): 169-175
DOI: 10.1055/s-0030-1262984
© Thieme Medical Publishers

Enterocutaneous Fistula: Medical and Surgical Management Including Patients with Crohn's Disease

Guy R. Orangio1
  • 1Georgia Colon and Rectal Surgical Associates, P.C., Atlanta, Georgia
Further Information

Publication History

Publication Date:
24 August 2010 (online)

ABSTRACT

Patients with inflammatory bowel disease (IBD) and especially Crohn's disease can be challenging for even the most seasoned of surgeons. Development of an enterocutaneous fistula (ECF) in these patients further adds a level of complexity that requires a well-planned and defined management strategy. The role of the surgeon in caring for these patients should be as the leader of a multidisciplinary team, directing the care of the other specialists, all while determining if, and when, the patient requires operative intervention. Although medical management has come a long way in these and similar patients, surgery is still needed in a vast majority of patients. Therefore, understanding the evaluation, initial management, and important technical considerations for care of IBD and other complex patients with ECFs is a difficult, yet much needed, task for which the surgeon should be prepared.

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Guy R OrangioM.D. 

Georgia Colon and Rectal Surgical Associates

P.C., 5555 Peachtree Dunwoody Rd. NE, Ste. 206, Atlanta, GA 30342

Email: gorangio@comcast.net