ICD-10: | K63.2 |
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Short Description: | Fistula of intestine |
Long Description: | Fistula of intestine |
An enterocutaneous fistula (ECF) is an abnormal connection that develops between the intestinal tract or stomach and the skin. As a result, contents of the stomach or intestines leak through to the skin.
K63.2ICD-10-CM Code for Fistula of intestine K63. 2.
Most ECFs occur after bowel surgery. Other causes include infection, perforated peptic ulcer, inflammatory bowel disease, Crohn's disease or ulcerative colitis. An ECF may also develop from an abdominal injury or trauma, such as a stabbing or gunshot.
An example of fistula formation between different functioning organs are enteric fistulas, which are abnormal connections between the gastrointestinal tract and other abdominal organs, chest, or skin.
Your doctor will conduct a thorough physical exam and may prescribe the following tests to confirm a diagnosis of enterocutaneous fistula (ECF) : Abdominal CT scan. Barium enema, if the fistula involves the colon. Barium swallow, also called an esophagram.
An enterocutaneous fistula is the most common type and represents 88.2% of all fistulae [22]. Quinn M et al. reported, 89.1% of intestinal cutaneous fistula developed after abdominal surgery, followed by 6.88% occurring spontaneously, and 3.99% occurring after an endoscopic procedure [23].Apr 22, 2020
A fistula is an abnormal communication between two epithelialized surfaces; an enterocutaneous fistula (ECF), as the name indicates, is an abnormal communication between the small or large bowel and the skin. An ECF can arise from the duodenum, jejunum, ileum, colon, or rectum.Mar 18, 2020
Because EAFs almost never close spontaneously, definitive repair usually requires major surgical intervention. Complex abdominal-wall reconstruction immediately after fistula resection is necessary for all EAFs once the infection has subsided, which may be 6-12 months after the original insult.Mar 18, 2020
Treatments. If the enterocutaneous fistula (ECF) doesn't heal on its own after a few weeks or months, a complex surgery is required to close the fistula and reconnect the gastrointestinal tract. Patients with ECFs often need specialized wound care, nutritional rehabilitation and physical rehabilitation.