(Gastrointestinal Fistula; Entero-enternal Fistula)
Copyright © Nucleus Medical Media, Inc.
An enterocutaneous fistula is an abnormal connection between the intestines and the skin. Intestinal or stomach contents can leak through this connection. The contents may leak into another part of the body or outside of the body.
Most enterocutaneous fistulas develop as a complication of bowel surgery. Other causes include:
Factors that may increase your chance of enterocutaneous fistula include:
- History of radiation
- Poor nutrition
If you have any of these symptoms, do not assume it is due to a fistula. These symptoms may be caused by other conditions.
Your doctor will ask about your symptoms and medical history. A physical exam will be done. You may be referred to a colon and rectal surgeon.
Images may be taken of your bodily structures. This can be done with:
A fistula may be able to heal on its own over 2-8 weeks. Talk with your doctor about the best treatment plan for you. Treatment options include the following:
Nutritional support may be needed while the fistula is healing:
- You may need to drink and eat high energy food for a while.
- Nutrition may need to be delivered through a tube connected to your stomach or intestine.
- If your bowels needs to rest, nutrition may be given through your vein.
- Antibiotics may be prescribed to help prevent or control infection.
- A drain may be attached to your wound to collect leakage from the fistula.
- If the fistulas do not heal, then part of the intestine may need to be removed.
There are no steps you can take to help prevent fistulas.
Last reviewed September 2013 by Daus Mahnke, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.