Cyanoacrylate glue for closure of proximal enterocutaneous f
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Enterocutaneous fistula (ECF) is a distressing complication. Commonly, it follows abdominal operations that require extensive adhesiolysis. Its management is challenging, burdening health systems. Complete healing can take several weeks.

A 48-year-old male underwent a trauma laparotomy, with resection of a segment of the proximal bowel and anastomosis. He experienced an anastomosis leak, wound infection, and ECF and was managed conservatively for 5 weeks with parenteral nutrition and bowel rest.

He was then treated with approximation sutures and cyanoacrylate adhesive. His wound was closed with a subcutaneous drain. He experienced complete healing of the fistula and wound after undergoing a minimally invasive approach using sutures and a cyanoacrylate sealant.

Cyanoacrylate glue is a safe initial non-invasive treatment of low-output ECF. It can be selected over-approximation sutures to ensure sealing of the tract before surgery.

Journal of Surgical Case Reports
Source: https://doi.org/10.1093/jscr/rjab165
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