Enterocutaneous Fistulas: FRIENDS and Management

This video explains what exactly fistulas are, and then goes into detail about enterocutaneous fistulas and the often-asked about FRIENDS of the fistula mnemonic. Clinical relevance of the FRIENDS factors are discussed, including how you might use them to keep open a therapeutic EC fistula (e.g. a G tube), or mitigate them to heal an unwanted fistula.
FRIENDS:
Foreign body
Radiation
Inflammation/Infection
Epithelialization
Neoplasm
Distal Obstruction (of the bowel itself, NOT the fistula)
Steroids
These videos are for educational purposes only. Do not use to diagnose or treat any disease. This is not clinical advice.

Пікірлер: 11

  • @johnnavarro4003
    @johnnavarro40032 жыл бұрын

    I am currently suffering from ECF 4 months now. I had an ileostomy for 1 year due to Meckel's Diverticulitis, had it reversed then an ECF occured, had surgery 3 days after the formation of ECF then re-occured after 10 days. Talked to a gastronterologist which had me try octreotide which worked, closed the fistula then another formed. Every time my fistula closes another one breaches my skin, some days i have 300cc below output some days i have 300cc above output. We talked to a colorectal specialist which told me that surgery is not an option since i had 4 surgeries in 12 months so he gave me a protocol of upping my vitamins and minerals intake along with high protein and caloric intake. Hoping for the best, this past 4 months made me feel like I don't have a life, it was even better when I had my ileostomy, sometimes making me regret that I had my ileostomy reversed. Thank you for the additional information!

  • @edrelnerm9852

    @edrelnerm9852

    Жыл бұрын

    I had an ileostomy reversal last week and now I'm still in the hospital on NPO, nurses are having a hard time locating my veins, difficult to have site for intravenous fluids.

  • @ans6441
    @ans64412 жыл бұрын

    you are a great teacher! your channel has a long way to go, best of luck

  • @roccckkky284
    @roccckkky2842 жыл бұрын

    Thank you for this informative video! Clear and straight to the point :)

  • @kathypaigex
    @kathypaigex Жыл бұрын

    Thanks for this - really clear to understand and a great overview.

  • @hassanalqarni8121
    @hassanalqarni81212 жыл бұрын

    Thank you

  • @tigersbloodboom
    @tigersbloodboom2 жыл бұрын

    Great explanation 👏🏼

  • @sushanpokharel7276
    @sushanpokharel72762 жыл бұрын

    thannkyou christopher 😊

  • @josh-e3j
    @josh-e3j11 ай бұрын

    I’ve been plagued with the encontanus fistula located where my rectum was located. After having stage 3 colorectal cancer my guess is the weakness from radiation then along side with having a colostomy the fistula had started. I’ve been leaking bowel for 5 years now sometimes buckets of fluid that’s beyond control. It has made my life very stressful. I also developed a parostomal hernia that’s the size of a woman’s beast size. My hernia has played a part in causing my fistula to become more complicated

  • @urdunovelsromanticurdunove540
    @urdunovelsromanticurdunove5402 жыл бұрын

    Useful☺

  • @nohandle740
    @nohandle7402 жыл бұрын

    great