Document Type
Article
Publication Date
8-13-2025
Abstract
Gastrointestinal fistulas are increasingly being encountered in our clinical practice because of the increased burden of Crohn's disease, bariatric surgeries, interventional endoscopic procedures, nonsurgical trauma, and war and disaster zones worldwide. Presentation depends on the location and specific type of the fistula. Symptomatic ones can have a tremendous impact on social life and can cause dehydration, electrolyte imbalance, malnutrition, increased morbidity, and mortality. Different imaging studies and endoscopic procedures are done to establish the diagnosis. Treatment modalities to close the fistula depend on the underlying disease and the type of fistula. They include conservative treatment, medical therapy, endoscopic interventions, and surgery. Currently, there is no accepted treatment algorithm due to a lack of controlled clinical trials. The prognosis varies from fistula to fistula, and the mortality can be as high as 50%.
Recommended Citation
Ahmed, Monjur, "Gastrointestinal Fistulas-What Gastroenterologists Need to Know in 2025" (2025). Division of Gastroenterology and Hepatology Faculty Papers. Paper 116.
https://jdc.jefferson.edu/gastro_hepfp/116
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
PubMed ID
40842479
Language
English
Included in
Digestive System Diseases Commons, Gastroenterology Commons, Pathological Conditions, Signs and Symptoms Commons
Comments
This article is the author’s final published version in Canadian Journal of Gastroenterology and Hepatology, Volume 2025, Issue 1, 2025, Article number 6210421.
The published version is available at https://doi.org/10.1155/cjgh/6210421. Copyright © 2025 Monjur Ahmed.