Edit concept Question Editor Create issue ticket

Enteroenteric Fistula

Entero Entero Fistula


Presentation

  • Confirm each diagnosis by consulting a section, organized by symptoms, that presents the full range of differential diagnoses and treatment options for each specific condition.[books.google.com]
  • Infliximab has been proven to be effective inFig. 4 Patient 4: A 15-year-old girl with both personal and family historyof Crohn disease presenting with severe RLQ pain.[docslide.com.br]
  • Present DH, Rutgeerts P, Targan S, et al. Infliximab for the treatment of fistulas in patients with Crohn’s disease. N Engl J Med. 1999;340:1398–1405. [15].Gorcey S, Katzka I.[webmedcentral.com]
  • Abdominal tenderness may be present on physical examination. Occasionally, a palpable abdominal mass representing densely adherent bowel loops is present.[emedicine.medscape.com]
  • The sex, age, patient's history, clinical presentation, location, aetiology, associated lesions and their treatment are presented in (Fig. 2) and (Fig. 3), for better visualization and comparison. In our...[posterng.netkey.at]
Collapse
  • In this original article,the star sign is described as a specific bowel arrangement oftwo or more discontinuous inflamed bowel segments demon-strating tight wall-to-wall attachment in one common centralpoint with intersections of collapsed shortcut bowel[docslide.com.br]
Recurrent Infection
  • Fistulas that involve thebladder can present with suprapubic pain and urinary symp-toms, including dysuria, pneumaturia and recurrent infections[5, 13, 14].ImagingIn recent years, MRE has become the primary imaging mo-dality for the evaluation of Crohn[docslide.com.br]
Recurrent Urinary Tract Infection
  • Enterovesical and colovesical fistulas are easier to diagnose in patients who present with symptoms of pneumaturia, fecaluria, and recurrent urinary tract infections. [12] Patients with rectovaginal and anovaginal fistulas may be asymptomatic and present[emedicine.medscape.com]
Intestinal Disease
  • Colonic Diseases Also called: Large intestine diseases Your colon, also known as the large intestine, is part of your digestive system. It's a long, hollow tube at the end of your digestive tract where your body makes and stores stool.[icdlist.com]
Suprapubic Pain
  • Fistulas that involve thebladder can present with suprapubic pain and urinary symp-toms, including dysuria, pneumaturia and recurrent infections[5, 13, 14].ImagingIn recent years, MRE has become the primary imaging mo-dality for the evaluation of Crohn[docslide.com.br]
Hematuria
  • AF a child 13 years, followed for Crohn's disease for 5 years under several treatments: corticosteroids, salazopyrin, metronidazole ... which has pneumaturia, hematuria and urinary tract infections.[webmedcentral.com]

Workup

Pyuria
  • They are often replaced with pyuria, less evocative but common [5,9].[webmedcentral.com]
  • The common presenting urinary symptoms include bladder irritability, dysuria, pyuria, fecaluria, and pneumaturia.[emedicine.medscape.com]

Treatment

  • Despite the effectiveness of medical treatment confirmed in some patients, the closing of the fistula can not often be obtained, which would require surgical treatment in most of these patients.[webmedcentral.com]
  • The treatment of fistulas requires optimization of nutrition and healing potential, and definitive surgical treatment, when indicated. Many enteric fistulas may heal spontaneously.[softwarebrands.weebly.com]
  • Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances.[books.google.com]
  • Review the latest developments in the field and get up-to-date clinical information on hot topics like polyps, capsule endoscopy, and pancreatic treatments.[books.google.com]
  • By GRETCHEN REYNOLDS Photo Credit Getty Images You asked How to Stop a Hot Flash Effective treatments are available to stop the discomfort of menopause symptoms.[nytimes.com]

Prognosis

  • Fistula Types, Diagnosis, Treatment, and Prognosis Fistulas Can Be Painful But Are Usually Treatable Without Surgery. Overview of enteric fistulas. INTRODUCTIONA fistula is an abnormal connection between two organs.[softwarebrands.weebly.com]
  • Prognosis The location and severity of the fistula play a major role in determining treatment. A fistula is a sign of serious inflammatory bowel disease (IBD), and without proper care, can lead to serious complications.[verywell.com]
  • […] opening on axial images use the "anal clock": anterior 12 o'clock identify secondary fistulous tracts and the sites of any abscess cavities in order to avoid therapeutic failure and recurrence cranial extension above the levator ani muscle Treatment and prognosis[radiopaedia.org]
  • Each type of classification system carries specific implications regarding the likelihood of spontaneous closure, prognosis, operative timing, and nonoperative care planning.[thehealthscience.com]

Etiology

  • During evaluation, a thorough consideration of the etiology of the fistula, removal of precipitating factors, optimization of nutritional status, and primary treatment of fistulas should occur.[softwarebrands.weebly.com]
  • Etiology The etiology of small intestinal fistulas is important to determine the subsequent treatment. The common mechanisms of intestinal fistula formation are outlined below.[thehealthscience.com]
  • Pulmonary hernias are classified according to their etiology (Fig. 1), of which the majority(except in children) are secondary to open or closed thoracic traumatisms.[posterng.netkey.at]
  • The etiology of small intestinal fistulas is important for determining the subsequent treatment. The common mechanisms of intestinal fistula formation are outlined below.[emedicine.medscape.com]
  • Diarrhea, abdominal pain, weight loss, and fever are common symptoms associated with enteroenteric fistulas of all etiologies.[emedicine.medscape.com]

Epidemiology

  • Methods Statistics Trigonometry Medical & Nursing Anatomy Anesthesiology Audiology Bacteriology Biochemistry Bioethics Biomedical Science Cardiology Cardiovascular Childbirth Chiropractic Dentistry Dermatology Diagnostic Imaging Drugs Endocrinology Epidemiology[brainscape.com]
  • Epidemiology Frequency Approximately 80-90% of all small intestinal fistulas occur because of operative intervention.[thehealthscience.com]
  • This Review describes the epidemiology and pathology of fistulizing Crohn's disease. Particular focus is given to external and perianal fistulas, for which treatment options are well established.[nature.com]
Sex distribution
Age distribution

Pathophysiology

  • The most commonly accepted pathophysiology is the cryptoglandular hypothesis, which posits that obstruction of the deep submucosal glands results in infection and abscess formation in the intersphincteric space, which consequently drains inferiorly between[radiopaedia.org]
  • Pathophysiology and therapy of chronic radiation-induced injury to the colon. Dig Dis. 1998 Jul-Aug. 16 (4):253-61. [Medline]. Li Y, Ren JA, Wang GF, et al.[emedicine.medscape.com]
  • Pathophysiology The pathophysiology of all forms of small bowel fistulas is related to the exposure of nonintestinal tissue to intestinal contents because of the fistula.[thehealthscience.com]

Prevention

  • Your doctor, nurse and dietitian will monitor your nutritional needs during recovery to ensure proper healing of your fistula and to prevent malnutrition and weight loss.[livestrong.com]
  • BACKGROUND: To date, the use of meshes in repairing abdominal wall defects has brought many advantages, especially in terms of recurrence prevention, but it is not exempt from complications, such as chronic pain, entero-cutaneous fistulas and intestinal[ncbi.nlm.nih.gov]
  • Seeing a gastroenterologist on a regular basis and taking medication as prescribed is vital to the management and prevention of IBD complications. Thanks for your feedback![verywell.com]
  • Setons are placed to prevent further abscesses from developing, as it keeps the pus from accumulating and allows it to drain out. You can always get an abscess in a different place, and a fistula can develop from it.[crohnsforum.com]
  • Similarly, vitamins and trace elements are added to enteral formulas and parenteral formulas to prevent deficiencies.[emedicine.medscape.com]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!