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) | |
Small bowel ECF |
Mortality: ~35% Spontaneous closure: ~30% |
Colonic ECF |
Mortality: ~22% Spontaneous closure: ~85% |