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Metcalf C
British journal of nursing (Mark Allen Publishing). Date of publication 2019 Mar 14;volume 28(5):S24-S31.
1. Br J Nurs. 2019 Mar 14;28(5):S24-S31. doi: 10.12968/bjon.2019.28.5.S24. Considerations for the management of enterocutaneous fistula. Metcalf C(1). Author information: (1)Stoma Care Clinical Nurse Specialist, St Mark's Hospital, London North West NHS Trust. Enterocutaneous fistula is an abnormal connection between the gastrointestinal tract and skin. Management includes early recognition and treatment of sepsis, reducing fluid and electrolyte homeostasis, nutrition support, wound management and a carefully timed surgical procedure. A multidisciplinary approach is required for successful management of these patients with one of the most challenging and resource-demanding aspects being local control of the effluent, requiring the skill and support of the specialist stoma care nurse. The inability to contain the fistula can be a source of morbidity for the patient, as they will experience pain and severe discomfort from the skin when leakages occur. Enterocutaneous fistula can result in intestinal failure, which is often fatal if not managed correctly. DOI: 10.12968/bjon.2019.28.5.S24 PMID: 30907655
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