Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 24 , ISSUE S4 ( September, 2020 ) > List of Articles

INVITED REVIEW

Gastrointestinal Stomas and Fistulas: What is Lost and What to Do?

Keywords : Enteral nutrition, Enterocutaneous fistula, Parenteral nutrition, Sepsis, Surgical stomas

Citation Information : Gastrointestinal Stomas and Fistulas: What is Lost and What to Do?. Indian J Crit Care Med 2020; 24 (S4):S175-S178.

DOI: 10.5005/jp-journals-10071-23620

License: CC BY-NC 4.0

Published Online: 21-01-2021

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

Abnormal connections between gastrointestinal tract (GIT) and skin are called enterocutaneous fistulas (ECFs). Presence of ECF is associated with significant morbidity and mortality. A stoma refers to a surgically created opening in the abdomen to divert feces or urine to the outside of the body, to compensate for partial or complete loss of bowel function. Gastrointestinal (GI) stomas and postoperative ECFs present a unique challenge to the intensivist due to development of malnutrition, dehydration, and sepsis leading to high morbidity and mortality. This review focuses on the basic concepts about the type of fistula and stomas, their indications and complications, and management. Principles of clinical management include replacement of fluid and electrolyte losses, control of sepsis along with reducing fistula output, prevention of malnutrition and psychological support, and skin care.


HTML PDF Share
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.