Successful nonoperative management of high output enterocutaneous fistulae in high surgical risk HIV-positive patients: Two case reports and literature review

David Muchuweti; Edwin Gamba Muguti; Simbarashe Gift Mungazi

doi:10.1002/ccr3.1840

Successful nonoperative management of high output enterocutaneous fistulae in high surgical risk HIV-positive patients: Two case reports and literature review

Clin Case Rep. 2018 Oct 30;6(12):2438-2444. doi: 10.1002/ccr3.1840. eCollection 2018 Dec.

Authors

David Muchuweti¹, Edwin Gamba Muguti², Simbarashe Gift Mungazi³

Affiliations

¹ Department of Surgery, College of Health Sciences University of Zimbabwe Harare Zimbabwe.
² College of Health Sciences University of Zimbabwe Harare Zimbabwe.
³ Department of Surgery and Anaesthetics, Faculty of Medicine National University of Science and Technology Bulawayo Zimbabwe.

Abstract

Management of enterocutaneous fistulae is challenging, often requiring a multidisciplinary approach. In high output fistulae, surgery is advocated after control of sepsis, adequate fluid and electrolyte repletion, and nutritional support. Surgery may, however, be contraindicated in the presence of sepsis and malnutrition. The presence of HIV infection brings extra challenges.

Keywords: enterecutaneous fistulae; high output; human immunodeficiency virus infection; hypoalbuminemia; malnutrition; sepsis.

Publication types

Case Reports