Enterostomal therapy and wound care of the enterocutaneous fistula patient

Clin Colon Rectal Surg. 2010 Sep;23(3):161-8. doi: 10.1055/s-0030-1262983.


Enterocutaneous fistulas represent a challenging situation with respect to wound care and stoma therapy. An understanding of the principles of wound care and the various techniques and materials that are available is of vital importance to enhance patient comfort and recovery as well as facilitate fistula healing. Skin barriers, adhesives, dressings, pouches, and negative pressure dressings are all materials that are available in the armamentarium of the enterostomal therapist. Proper utilization of these items and appropriate modifications to their application requires an intimate knowledge of the characteristics of the fistula being treated. Wound care management is a key element in the overall care and healing of the enterocutaneous fistula.

Keywords: Enterocutaneous fistula; negative pressure dressings; pouches; skin barriers; wound management.