Management of Enteroatmospheric Fistulas: What you need to know.

Abstract

An enteroatmospheric fistula (EAF) is a disastrous complication of abdominal surgery. Most EAFs occur in open abdomens after damage-control procedures in trauma and emergency general surgery. The absence of a defined fistulous tract and abdominal wall coverage preclude spontaneous closure and entail several challenges. Therefore, the primary objective is to manage those challenges to allow for the surgical take down of the fistulized bowel and reestablish gastrointestinal continuity. This work discusses a multidisciplinary approach indicating practical strategies from at least six different disciplines involved in the care of EAF patients.