Pouching a draining duodenal cutaneous fistula: a case study.

J Wound Ostomy Continence Nurs

Amicare Home Healthcare, Mason City, Iowa 50401, USA.

Published: January 1999

AI Article Synopsis

  • Blockage of the mesenteric artery can lead to colon necrosis, often requiring major surgical procedures, including possible entire colon removal.
  • This article discusses the case of a middle-aged woman who underwent surgery for this issue, managing a draining duodenal fistula and significant bowel loss.
  • It highlights the ongoing care related to nutrition, skin management, and pouch options as her condition evolved and a stoma was created.

Article Abstract

Blockage of the mesenteric artery typically causes necrosis to the colon, requiring extensive surgical resection. In severe cases, the necrosis requires removal of the entire colon, creating numerous problems for the WOC nurse when pouching the opening created for effluent. This article describes the management of a draining duodenal fistula in a middle-aged woman, who survived surgery for a blocked mesenteric artery that necessitated the removal of the majority of the small and large intestine. Nutrition, skin management, and pouch options are described over a number of months as the fistula evolved and a stoma was created.

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http://dx.doi.org/10.1016/s1071-5754(99)90007-4DOI Listing

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