The treatment of enterocutaneous fistulas and their metabolic sequelae

Enterocutaneous fistulas are abnormal connections that develop between the intestinal tract and the skin and constitute a severe form of intestinal failure. They usually occur as a complication of abdominal surgery. In addition to being associated with several other complications, these fistulas have a mortality rate of 10% in specialised centres. This dissertation demonstrates the importance of a structured treatment guideline that is focused on sepsis treatment, optimising nutritional status, providing good wound and stoma care, and allowing enough time before proceeding with surgical options. We noted good quality of life in the long term and were the first to demonstrate how liver failure can occur as a complication of intestinal failure.