A case of postoperative refractory enterocutaneous fistula

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  • Suzuki Yumi
    Patient Support Center, Aizu Medical Center, Fukushima Medical University
  • Endo Shungo
    Department of Coloproctology, Aizu Medical Center, Fukushima Medical University
  • Isohata Noriyuki
    Department of Coloproctology, Aizu Medical Center, Fukushima Medical University

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Other Title
  • 術後に生じた小腸皮膚瘻のケアに難渋した1例
  • 症例報告 術後に生じた小腸皮膚瘻のケアに難渋した1例
  • ショウレイ ホウコク ジュツゴ ニ ショウジタ ショウチョウ ヒフロウ ノ ケア ニ ナンジュウ シタ 1レイ

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Description

<p>We describe a 70-year-old male patient with a postoperative refractory enterocutaneous fistula in an open, postoperative abdominal wound that was treated by cooperating ward nurses and outpatient nurses certified in wound, ostomy and continence nursing. Management was extremely challenging due to issues with pouching, exacerbated skin damage surrounding the wound, and frequent changes of wound dressing. The patient endured physical and emotional distress due to the extreme pain caused by the skin damage. Therefore, we drafted and implemented a nursing plan based on assessment of the patient's verbal descriptions and behavior. This plan relieved the emotional distress of the patient and motivated him to continue treatment. Integrated care is important when fistula management is complicated, and thus information should be shared among caregivers through the use of procedure manuals containing illustrative graphical information.</p>

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