Clinical guidelines for the management of gastrointestinal fistula – developed by experts of the Polish Surgical Society

• Authors: Jacek Sobocki , Marek Jackowski , Adam Dziki , Wiesław Tarnowski , Tomasz Banasiewicz , Marek Kunecki , Maciej Słodkowski , Michał Stanisławski , Zuzanna Zaczek , Piotr Richer , Andrzej Matyja , Mariusz Frączek , Grzegorz Wallner

Abstracts

EN

Introduction: Gastrointestinal fistula is one of the most difficult problems in gastrointestinal surgery. It is associated with high morbidity and mortality, numerous complications, prolonged hospitalization, and high cost of treatment.
Aim: This project aimed to develop recommendations for the treatment of gastrointestinal fistulas, based on evidence-based medicine and best clinical practice to reduce treatment-related mortality and morbidity.
Material and methods: The preparation of these recommendations is based on a review of the literature from the PubMed, Medline, and Cochrane Library databases from 1.01.2010 to 31.12.2020, with particular emphasis on systematic reviews and clinical recommendations of recognized scientific societies. Recommendations in the form of a directive were formulated and assessed using the Delphi method.
Results and conclusions: Nine recommendations were presented along with a discussion and comments of experts. Treatment should be managed by a multidisciplinary team (surgeon, anesthetist, clinical nutritionist/dietician, nurse, pharmacist, endoscopist).

Keywords

EN

gastrointestinal fistula; negative pressure therapy; parenteral nutrition; treatment

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2021
• Volume: 93
• Issue: 4
• Pages: 57-69

Dates

published

2021

Contributors

author

Jacek Sobocki

author

Marek Jackowski

author

Adam Dziki

author

Wiesław Tarnowski

author

Tomasz Banasiewicz

author

Marek Kunecki

author

Maciej Słodkowski

author

Michał Stanisławski

author

Zuzanna Zaczek

author

Piotr Richer

author

Andrzej Matyja

author

Mariusz Frączek

author

Grzegorz Wallner

Identifiers

Biblioteka Nauki

58413922