Novel Approach for Enterocutaneous Fistula Treatment with the Use of Viable Cryopreserved Placental Membrane
Joint Authors
Nichols, Frederick
Overly, Aaron
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-10-26
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Enterocutaneous fistulas (ECF) are a difficult and costly surgical complication to manage.
The standard treatment of nil per os (NPO) and total paraenteral nutrition (TPN) is not well tolerated by patients.
TPN is also known for complications associated with long term central venous catheterization and for high cost of prolonged hospital stay.
We present two low output ECF cases successfully treated with viable cryopreserved placental membrane (vCPM) placed into the fistula tracts.
One patient is a 59-year-old male with a low output ECF from a jejunostomy tube site four weeks after the surgery.
The second patient is an 87-year-old male with a low output ECF following a small bowel resection secondary to a strangulated inguinal hernia.
He was evaluated on day 41 after surgery.
NPO and TPN for several weeks did not resolute the ECF.
The fistulae were closed postoperatively in both patients with zero output on the same day after one vCPM application.
On day 3 postoperatively both patients were started on clear liquid diets and subsequently advanced to regular diets.
The ECF have remained resolved for over 2 months.
The use of vCPM is a novel promising approach for treatment of ECF.
American Psychological Association (APA)
Nichols, Frederick& Overly, Aaron. 2016. Novel Approach for Enterocutaneous Fistula Treatment with the Use of Viable Cryopreserved Placental Membrane. Case Reports in Surgery،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1102904
Modern Language Association (MLA)
Nichols, Frederick& Overly, Aaron. Novel Approach for Enterocutaneous Fistula Treatment with the Use of Viable Cryopreserved Placental Membrane. Case Reports in Surgery No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1102904
American Medical Association (AMA)
Nichols, Frederick& Overly, Aaron. Novel Approach for Enterocutaneous Fistula Treatment with the Use of Viable Cryopreserved Placental Membrane. Case Reports in Surgery. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1102904
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1102904