The management of the entero-atmospheric fistula (EAF)

Narong Kulvatunyou, Peter Rhee

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations


The open abdomen is an available tool utilized in the management of damage control laparotomy (DCL) as well as emergency general surgery intra-abdominal sepsis. Despite its theoretical usefulness, open abdomen has definite associated complications including ventral hernia and entero-atmospheric fistula (EAF). Unlike entero-cutaneous fistula (ECF), EAF presents a somewhat more clinical challenge in terms of wound care and fistula effluence control. In this chapter, we presented an EAF case scenario, an overview of the subject including etiology, classification, and various techniques in managing this difficult clinical scenario with literature review. The best treatment for the EAF is most likely its prevention as it is so devastating for the patient and surgeon. The earlier the abdomen is closed, the less chance that the EAF will develop.

Original languageEnglish (US)
Title of host publicationComplications in Acute Care Surgery
Subtitle of host publicationThe Management of Difficult Clinical Scenarios
PublisherSpringer International Publishing
Number of pages13
ISBN (Electronic)9783319423760
ISBN (Print)9783319423746
StatePublished - Jan 1 2016


  • Abdominal wall defect
  • Atmospheric fistula
  • Delayed abdominal closure
  • Entero-atmospheric fistula
  • Entero-cutaneous fistula
  • Open abdomen

ASJC Scopus subject areas

  • Medicine(all)


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