Clinical practice in the management of enteroatmospheric fistula and fistuloclysis: a case report

Práctica clínica en el manejo de la fístula enteroatmosférica y la fistuloclisis: reporte de un caso

Objective:  To describe the intervention of fistuloclysis in enteroatmospheric fistulas.

Method:  This is a descriptive case report constructed according to the Consensus-based Clinical Case Reporting Guideline Development, carried out with a male patient in a medium-sized philanthropic hospital in a city in Minas Gerais, Brazil. The study was previously approved by a Research Ethics Committee.

Results:  T: Patient with a history of radical prostatectomy and elective cholecystectomy, with progression of colon ischemic necrosis, which required left colectomy and Hartmann colostomy, developed spontaneous enteroatmospheric fistulas and was on enteral nutrition for nine months. Due to complications, fistuloclysis was initiated, which resulted in significant nutritional improvement.

Conclusion:  The description of the procedure and care allows its reproduction in a safe manner for effluent control, nutritional restoration, and other clinical responses. The care provided by the stomatherapy nurse stands out, taking into account the benefits, complexity, and challenges of fistuloclysis.

DESCRIPTORS
Jejunostomy; Intestinal Fistula; Nutrition Therapy; Enterostomal Therapy