Open AccessSuccessful nonoperative management of high output enterocutaneous fistulae in high surgical risk HIV‐positive patients: Two case reports and literature review
Author(s) -
Muchuweti David,
Muguti Edwin Gamba,
Mungazi Simbarashe Gift
Publication year - 2018
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.1840
Subject(s) - medicine , enterocutaneous fistula , malnutrition , sepsis , intensive care medicine , human immunodeficiency virus (hiv) , parenteral nutrition , surgery , general surgery , fistula , immunology
Key Clinical Message Management of enterocutaneous fistulae is challenging, often requiring a multidisciplinary approach. In high output fistulae, surgery is advocated after control of sepsis, adequate fluid and electrolyte repletion, and nutritional support. Surgery may, however, be contraindicated in the presence of sepsis and malnutrition. The presence of HIV infection brings extra challenges.