Enteric Fistula

**Enteric Fistula: A Comprehensive Overview**

**Definition and Symptoms:**

Enteric fistula refers to an abnormal connection between the gastrointestinal (GI) tract and another organ or structure outside the GI tract. Symptoms may include:

* Persistent drainage from an opening on the skin or another organ
* Abdominal pain
* Fever
* Nutritional deficiencies

**Causes and Risk Factors:**

Enteric fistulas can develop due to:

* Inflammatory bowel disease (IBD)
* Diverticular disease
* Crohn’s disease
* Ulcerative colitis
* Radiation therapy
* Trauma

**Diagnosis and Treatment:**

Fistula diagnosis typically involves a physical exam, imaging studies (e.g., CT or fistulography), and endoscopic evaluation. Treatment options include:

* **Medical Therapy:** Antibiotics, anti-inflammatory medications, and nutritional support
* **Endoscopic Closure:** Non-invasive procedures using specialized instruments to repair the fistula
* **Surgical Repair:** Surgical removal or repair of fistula
* **Drainage and Care:** Management of drainage, infection prevention, and wound care

**Complications:**

Unresolved or untreated enteric fistulas can lead to:

* Infection
* Malnutrition
* Organ failure

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