Enterocutaneous fistulae: interventional radiologic management.

  title={Enterocutaneous fistulae: interventional radiologic management.},
  author={G. Mclean and J. A. Mackie and D. Freiman and E. Ring},
  journal={AJR. American journal of roentgenology},
  volume={138 4},
Twelve patients with high-output enterocutaneous fistulae were successfully managed by interventional radiologic therapy. Control of the bowel effluent was gained by anchoring a large-bore T tube in the lumen of the bowel and placing sump drains adjacent to the bowel wall. Abscesses communicating with the fistulous tract were also catheterized and drained. This approach afforded control of sepsis and allowed the formation of a mature, fibrous external tract that subsequently underwent… Expand
Percutaneous management of enterocutaneous fistulae and abscess-fistula complexes.
Different percutaneous management strategies for abscess-fistula complexes along with tract closures strategies for enterocutaneous fistulae are detailed. Expand
Radiologic investigation and treatment of gastrointestinal fistulas.
  • H. A. Thomas
  • Medicine
  • The Surgical clinics of North America
  • 1996
Diagnostic radiology has assumed an increasingly prominent role in the diagnosis, investigation, and treatment of gastrointestinal fistulas during the past 15 years through the application of computed tomography and ultrasonography to the diagnosis of intra-abdominal inflammatory processes. Expand
Radiographic and endoscopic diagnosis and treatment of enterocutaneous fistulas.
The purpose of this chapter is to review both the diagnostic and therapeutic roles of fistulograms, small bowel follow-through, computed tomography, magnetic resonance imaging, ultrasound, and endoscopy in the setting of acquired enterocutaneous fistulas. Expand
Interventional Management of Gastrointestinal Fistulas
The clinical and imaging features ofGI fistulas are described and the interventional management of GI fistulas is outlined, allowing for superior accessibility to the fistulous tracts via the use of fistulography. Expand
Trans-oral embolization of a post-operative duodenocutaneous fistula.
A case of a postoperative duodenocutaneous highoutput fistula, which was successfully occluded by transcatheter tract embolization, using a trans-oral approach is presented. Expand
Percutaneous management of enterocutaneous fistulas.
Percutaneous management of enterocutaneous fistulas is a valuable therapeutic approach in patients not responding to medical treatment, particularly patients with high-output fistulas. Expand
Laser Ablation Facilitates Closure of Chronic Enterocutaneous Fistulae.
This report describes the use of laser ablation for treatment of chronic enterocutaneous fistulae (ECFs) after failure of conservative therapy and initial technical success was 100% with no major or minor complications. Expand
Abdominal abscesses associated with enteric fistulas: percutaneous management.
Treatment of abdominal abscesses with fistulas by means of percutaneous methods is reliable and safe and hospital stay may be minimized with outpatient management after drainage. Expand
Combined Endoscopic and Percutaneous Treatment of a Duodenocutaneous Fistula Using an Amplatzer Septal Occluder
An innovative interventional technique for the repair of a postoperative enterocutaneous fistula (ECF) using an Amplatzer septal occluder is described, which was deployed under simultaneous fluoroscopic and endoscopic guidance. Expand
Technical report: percutaneous treatment of a pancreatic duct fistula facilitated by an hydrophilic guide wire.
A case in which a pancreatico-cutaneous fistula was successfully treated percutaneously is presented. The use of an hydrophilic guide wire enabled a catheter to be negotiated across an irregularExpand


Adequate nutrition appears to be a decisive factor in survival whether or not the patient requires definitive surgery, and an optimal, planned nutritional program is stressed. Expand