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Complex treatment of multiple high-output enterocutaneous fistulas (gastric, jejunum, transversum) after bariatric surgery. 2023
Vladimir Yu Struchkov, and
Stanislav V Berelavichus, and
Mihail V Dvuhzhilov, and
Evgenij A Akhtanin, and
Andrej G Kriger
Department of Abdominal Surgery, A.V. Vishnevsky National Medical Research Center of Surgery, Moscow, Russia.
Multiply high-output enterocutaneous fistulas (ECF) is a tragic postoperative complication. This report describes complex treatment of patient with multiple enterocutaneous fistulas after bariatric surgery, including a comprehensive preoperative preparation for 3 months (sepsis control, nutritional support and wound care) and reconstructive surgery (laparotomy, distal gastrectomy, resection of the small bowel with fistulas, Roux-gastrojejunostomy, transversostomy).
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