![]() The team will focus on four main areas: sepsis, nutrition, anatomy and protection of skin. It’s not stable and causes frequent problems with infections and pain, often requiring a hospital visit.Ī fistula is a dreaded complication of surgery or illness – a complex medical and surgical problem that will need to be managed initially by a large number of healthcare professionals working as part of a multidisciplinary team. ![]() They cannot give me any medication as they cannot find any underlying disease yet it doesn’t heal. Attempt at repair two years later nearly killed me as I had respiratory failure. I did have a long history of chronic health problems, bowel disease for which I have an ileostomy plus severe endometriosis but the experts say these conditions have not caused the fistula. They cannot tell me why mine happened, I went in for a hysterectomy in pretty good health but ended up with a fistula. If a fistula is as a result of a life saving bowel surgery for example, then maybe it would be easier to accept, I don’t know. I have never accepted my fistula and I struggle with it, not everyone’s coping mechanisms are the same. I try and remind myself of that every day but it’s not easy. If the bowel contents resulting from a perforation collected inside you and did not come out via the fistula, you would develop sepsis and become seriously ill. So an enterocutaneous fistula means an abnormal connection between the bowel and the skin.ĭespite the fact they are viewed as a devastating complication □, they are actually saving your life □□. ‘Fistula’ is an abnormal connection between 2 surfaces. This can be explained by breaking down the words into their different parts: ![]() In this case, I want to talk about an enterocutaneous fistula which is my particular demon or angel depending on how you look at it! There are many different types of fistula such as an anal fistula or rectovaginal fistula, plus some fistulas are deliberately created by surgeons between an artery and a vein if someone needs haemodialysis for example. Inflammatory bowel conditions such as Crohn’s Disease and Ulcerative Colitis are examples of conditions that lead to fistulas forming, for example, between two loops of intestine. Fistulas are usually caused by injury or surgery, they may also form after an infection has led to severe inflammation.
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