Heimroth Jamie, Chen Eric, Sutton Erica
Am Surg. 2018 Mar 1;84(3):326-333.
There are very few clinical studies that highlight a definitive and comprehensive guideline for the management of enterocutaneous fistulas. Most accepted guidelines are found in textbooks and are taken from expert advice and case reports. The goal of this review is to highlight advancements relevant to the management of enterocutaneous fistulas from the recent two to three years. Although strong evidence-based guidelines are lacking, the consensus is that a multidisciplinary team working with a clear treatment plan targeting multiple aspects of management can maximize patient outcomes.
很少有临床研究能突出针对肠皮肤瘘管理的明确且全面的指南。大多数公认的指南见于教科书，且取自专家建议和病例报告。本综述的目的是突出最近两到三年与肠皮肤瘘管理相关的进展。尽管缺乏强有力的循证指南，但共识是，一个多学科团队按照针对管理多个方面的明确治疗计划开展工作，可以使患者的治疗效果最大化。
