Entero-enteral fistula; Enterocutaneous fistula; Fistula - gastrointestinal
A gastrointestinal fistula is an abnormal opening in the stomach or intestines that allows the contents to leak.
Depending on where the leak is, these fistulas may cause diarrhea, and poor absorption of nutrients. Your body may not have as much water and fluids as it needs.
Tests may include:
Treatments may include:
Some fistulas close on their own after a few weeks to months.
The outlook depends on the person's overall health and how bad the fistula is. People who are otherwise healthy have a very good chance of recovery.
Fistulas may result in malnutrition and dehydration, depending on their location in the intestine. They may also cause skin problems and infection.
Call your health care provider if you have:
De Prisco G, Celinski S, Spak CW. Abdominal abscesses and gastrointestinal fistuals. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 28.
Lichtenstein GR. Inflammatory bowel disease. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 141.
Nandakumar G, Michelassi F. Crohn disease. In: Yeo CJ, ed. Shackleford's Surgery of the Alimentary Tract. 7th ed. Philadelphia, PA: Elsevier Saunders; 2013:chap 71.
Last reviewed on: 5/11/2016
Reviewed by: Subodh K. Lal, MD, gastroenterologist with Gastrointestinal Specialists of Georgia, Austell, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.