Large Intestine: General Enteric Fistula

Enteric Fistula

Definition

  • An Abnormal Connection of the Intestine to Another Epithelialized Hollow Organ/Skin

Risk Factors

  • Emergency Procedure
  • Trauma
  • Crohn’s Disease
  • Infection
  • Smoking
  • Malnutrition

Factors that Impede Closure Mn

  • Foreign Body
  • Radiation (Not Chemo)
  • Inflammation
  • Epithelialization
  • Neoplasia
  • Distal Obstruction
  • Steroids

Types of Enteric Fistulas

Enterocutaneous Fistula (ECF)

Colovesicular Fistula

Colovaginal Fistula

Rectovaginal Fistula

Anorectal Fistula

Mnemonics

Factors that Impede Closure

  • “FRIENDS” of Fistulas Keep Them Open
    • Foreign Body
    • Radiation (Not Chemo)
    • Inflammation
    • Epithelialization
    • Neoplasia
    • Distal Obstruction
    • Steroids