Successful nonoperative management of high output enterocutaneous fistulae in high surgical risk HIV‐positive patients: Two case reports and literature review. Issue 12 (30th October 2018)

• Record Type: Journal Article
• Authors: Muchuweti, David; Muguti, Edwin Gamba; Mungazi, Simbarashe Gift
• Is Part Of: Clinical case reports. Volume 6:Issue 12(2018)
• Page Start: 2438
• Page End: 2444
• Publication Date: 2018-10-30
• Subjects: enterecutaneous fistulae -- high output -- human immunodeficiency virus infection -- hypoalbuminemia -- malnutrition -- sepsis; Medicine -- Periodicals; 616.09
• DOI: 10.1002/ccr3.1840
• Languages: English
• ISSNs: 2050-0904

Abstract

Key Clinical Message: Management of enterocutaneous fistulae is challenging, often requiring a multidisciplinary approach. In high output fistulae, surgery is advocated after control of sepsis, adequate fluid and electrolyte repletion, and nutritional support. Surgery may, however, be contraindicated in the presence of sepsis and malnutrition. The presence of HIV infection brings extra challenges. Abstract : Management of enterocutaneous fistulae is challenging, often requiring a multidisciplinary approach. In high output fistulae, surgery is advocated after control of sepsis, adequate fluid and electrolyte repletion, and nutritional support. Surgery may, however, be contraindicated in the presence of sepsis and malnutrition. The presence of HIV infection brings extra challenges.