Case List History Objectives Radiology Images Questions SMALL INTESTINE AND APPENDIX Case #8 - A 55 year old man with wound drainage 6 days postop DISCUSSION QUESTIONS: 6.) What is the non-operative management of this fistula? The non-operative management of this fistula will include the following: a. Nutrition - TPN or enteral (distal to the fistula with elemental feeds) b. Control sepsis c. Control drainage of the fistula - suction drain if possible d. Fluids and electrolytes to be replaced appropriately e. Decrease fistula output - octreotide parenterally f. Skin management - stoma appliances, zinc oxide or karaya powder; vacuum assisted closure device
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