enterocutaneous fistula
Also written as: ECF — enterocutaneous fistula
Abnormal communication between the bowel and skin surface allowing intestinal contents to drain externally.
Full Definition
A pathological connection between the intestinal tract and the skin, typically occurring as a complication of abdominal surgery, inflammatory bowel disease, or trauma. These fistulas are classified by anatomy (duodenal, jejunal, ileal, colonic), output volume (high vs. low), and complexity. High-output fistulas produce greater than 500mL daily and pose significant risks of fluid-electrolyte imbalance and malnutrition. Management includes nutritional support, skin protection, and often surgical repair once inflammation subsides.
Usage
Usage note: Specify output volume and anatomical location when documenting. Abbreviate as ECF after first use.
In Context
- "High-output enterocutaneous fistula developed on postoperative day five following bowel resection." — Progress note
- "Conservative management of the ECF included total parenteral nutrition and octreotide therapy." — Treatment plan