Enterocutaneous Fistula: A Study of Its Etiology, Effect of Nutritional Management and Surgery

Dr. Irlapati Suresh, Dr. Kandula Sai Sanath, Dr. G. Sarathbabu

Abstract: Aim: To study the etiology of enterocutaneous fistula (ECF), evaluate the impact of nutritional management, and assess surgical outcomes. Objective: To analyse causes of ECF, assess the impact of nutrition on outcomes, and evaluate surgical strategies for fistula closure. Background: ECF is a complex clinical problem, usually postoperative, with substantial morbidity and mortality. Effective management centers on identifying the cause, restoring fluid and electrolyte balance, comprehensive nutrition, and deliberate surgical planning. Methods: A prospective observational study was performed on ECF patients from 2023?2025. Etiology, fistula characteristics, nutrition, and interventions were recorded. Outcome measures included spontaneous and surgical closure rates, morbidity, and mortality. Results: Most ECFs resulted from postoperative complications, with spontaneous closure achieved in about 40% through tailored nutritional and medical care. Surgical intervention after nutrition optimization successfully managed persistent and high-output fistulas. Mortality was closely linked to sepsis, malnutrition, and high-output conditions. Conclusion: Accurate diagnosis, robust nutrition support, early infection control, and staged surgical strategies are key to successful ECF management.

Keywords: Enterocutaneous fistula, nutrition, sepsis, surgical management, postoperative complication

How to Cite?: Dr. Irlapati Suresh, Dr. Kandula Sai Sanath, Dr. G. Sarathbabu, "Enterocutaneous Fistula: A Study of Its Etiology, Effect of Nutritional Management and Surgery", Volume 14 Issue 8, August 2025, International Journal of Science and Research (IJSR), Pages: 1631-1632, https://www.ijsr.net/getabstract.php?paperid=SR25826194733, DOI: https://dx.doi.org/10.21275/SR25826194733