Tag: Enterocutaneous fistula

The mortality rate for patients with an enterocutaneous fistula (ECF) was once as high as 50%, but has significantly decreased due to advancements in care, particularly aggressive nutritional and metabolic support. Proper nutrition is not merely supportive but a cornerstone of management to promote healing and reduce complications.

Historically, the advent of total parenteral nutrition (TPN) dramatically improved outcomes for patients with enterocutaneous fistulas (ECFs), a challenging condition with a high risk of complications. The use of parenteral nutrition in the management of enterocutaneous fistula allows for nutritional repletion and electrolyte balance, which is vital for healing and stabilization. This intravenous nutritional support is particularly crucial for patients with high-output fistulas or those who cannot tolerate enteral feeding.