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Fistula Enterokutan

A fistula is an abnormal connection


between hollow viscus and adjacent organ
or skin
Simple fistula = direct communication
between gut and skin
Complex fistula = fistula with associated
abscess cavity
Aetiology

Anastomotic leaks
Trauma - often iatrogenic post surgery
Inflammatory bowel disease
Malignancy
Radiotherapy
malniutrition

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