ABSTRACT
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 - wound management - skin barriers - pouches - negative pressure
dressings
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Rebecca E HoedemaM.S. M.D.
Ferguson Clinic/Spectrum Health, Michigan State University Medical School
4100 Lake Dr., Ste. 205, Grand Rapids, MI 49546
Email: rebecca.hoedema@spectrum-health.org
