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Enterocutaneous fistula?



I have a complex fistula that formed after a bowel rupture/resection/severe peritonitis at the site of the anastamosis and goes through to the skin though the incision. I had the surgery in October and the fistula really declared itself in late January.

Most fistulas look like 1 tunnel, I guess, but the fistulagram shows mine looks like a web. Awesome. It's also spitting out staples. Ew.

My gastro is considering TPN for 8 weeks or so if it turns out my current dose of Imuran is effective, and if it doesn't close then, then surgery.

Has anyone else had experience with a gut-to-skin fistula? Did it close? Surgery? What?

I've been on gobs of antibiotics to no avail.