Chinese Journal of Emergency and Critical Care Nursing >
Nursing care of patients with enterocutaneous fistula undergoing intra-fistula intubation diversion technique
This article summarizes the nursing experience of three patients with enterocutaneous fistula who underwent intra-fistula intubation diversion technique. Addressing challenges such as high output of fistula drainage，difficulty in collecting intestinal fluid，special fistula locations（adjacent to or within the surgical incision），difficulty in would management and malnutrition，interventions included intra-fistula intubation diversion，cuff pressure monitoring，catheter removal care，specialized wound management，and nutritional support. Through meticulous monitoring and precise management，one patient achieved spontaneous fistula closure，while the other two underwent secondary fistula repair surgery. All patients recovered and were discharged successfully.
WANG Qin , WANG Feixia , WANG Qunmin , JIANG Die , PAN Zhe , LI Weizhen , ZHAO Panpan , HUA Hanju . Nursing care of patients with enterocutaneous fistula undergoing intra-fistula intubation diversion technique[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025 , 6(8) : 964 -966 . DOI: 10.3761/j.issn.2096-7446.2025.08.011
| [1] | Ghimire P. Management of enterocutaneous fistula:a review[J]. JNMA J Nepal Med Assoc, 2022, 60(245):93-100. |
| [2] | 解好好, 郑涛, 周伟, 等. 全国多中心肠内瘘诊治情况调查及预后风险因素分析[J]. 中国医师杂志, 2020, 22(6):805-809. |
| Xie HH, Zheng T, Zhou W, et al. Investigation of treatment and analysis of prognostic risk on intra-abdominal fistula in China:a multicenter prospective study[J]. J Chin Physician, 2020, 22(6):805-809. | |
| [3] | Gefen R, Garoufalia Z, Zhou P, et al. Treatment of enterocu-taneous fistula: a systematic review and meta-analysis[J]. Tech Coloproctol, 2022, 26(11):863-874. |
| [4] | 徐加鹤, 周喜乐, 王金海, 等. 保护性肠造口自闭可行性研究[J]. 中国实用外科杂志, 2012, 32(12):1040-1042. |
| Xu JH, Zhou XL/Y, Wang JH, et al. Spontaneously closed protective stoma:a preliminary report of exploratory study[J]. Chin J Pract Surg, 2012, 32(12):1040-1042. | |
| [5] | 王飞霞, 王群敏, 李卫珍, 等. 回肠插管造口术后套囊压力监测频次优化方案的临床实践[J]. 军事护理, 2022, 39(10):41-43. |
| Wang FX, Wang QM, Li WZ, et al. Clinical practice of improved cuff pressure monitoring frequency scheme for ileal intubation stoma[J]. Nurs J Chin People’s Liberation Army, 2022, 39(10):41-43. | |
| [6] | 王飞霞, 王群敏, 潘喆, 等. 自闭保护性回肠插管造口患者并发堵管性肠梗阻的危险因素研究[J]. 中华护理杂志, 2020, 55(8):1212-1216. |
| Wang FX, Wang QM, Pan Z, et al. Risk factors of obstructive intestinal obstruction among patients with ileal spontaneously closed intubation stoma[J]. Chin J Nurs, 2020, 55(8):1212-1216. | |
| [7] | 王惠, 孙红玲, 孙艳, 等. 1例直肠癌回肠造口术后继发肠外瘘患者的护理[J]. 中华护理杂志, 2024, 59(12):1443-1446. |
| Wang H, Sun HL, Sun Y, et al. Nursing care of a rectal cancer patient with intestinal fistula using fistula isolation technique combined with zonal management[J]. Chin J Nurs, 2024, 59(12):1443-1446. | |
| [8] | Díaz-Pizarro Graf JI, Kumpf VJ, de Aguilar-Nascimento JE, et al. ASPEN-FELANPE clinical guidelines:nutrition support of adult patients with enterocutaneous Fistula[J]. Nutr Hosp, 2020, 37(4):875-885. |
/
| 〈 |
|
〉 |