Treatment | ECF outcome |
---|---|
SOWATS treatment guideline (medical + surgical treatment) | Mortality: 10-30% Fistula closure: ~87,4% |
Medical treatment Alimentary tract rest Restoration of circulating volume Restoration of hydroelectrolytic balance Nutritional support (optimal TPN) (fistula closure rate: 89-92,3%) Controlling sepsis Wound care | Mortality: 5-25% Spontaneous closure: 17-71% |
Restorative surgery Minimal period: >6 weeks | Mortality: 9,6%-10,8% (sepsis-related death: ~15,1%) Surgical closure: 52-90,7% Persisting fistula: 3-50% |
Definitive surgery Minimal period: >6 months (median period: 8 months) | Â |
Small bowel ECF | Mortality: ~35% Spontaneous closure: ~30% |
Colonic ECF | Mortality: ~22% Spontaneous closure: ~85% |