Open AccessCombination of hypertonic saline and fibrin glue: Another selection to treat chronic enterocutaneous fistula
Author(s) -
Po-Chao Hsu,
ShengDer Hsu
Publication year - 2017
Publication title -
yīxué yánjiū zázhì/journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 12
eISSN - 2542-4939
pISSN - 1011-4564
DOI - 10.4103/jmedsci.jmedsci_126_16
Subject(s) - fibrin glue , medicine , hypertonic saline , enterocutaneous fistula , fistula , surgery , complication , saline , sepsis , anesthesia
Gastrointestinal tract fistula is a frequent complication of surgery or disease. In general, cases involving failure to manage fistulae after 5–6 weeks of nonoperative treatment possibly require surgery. Here, we report a case involving a chronic enterocutaneous fistula (ECF) for 24 months that was treated using hypertonic saline injection within the duodenal mucosa and use of fibrin glue as an adhesive to ensure rapid closure. This technique is a simple and effective method for treating an ECF. The procedure is easy to perform, carries minimal surgical risk, and features the advantages of reduced hospitalization or home nursing care and expenses compared with traditional therapy