Acute Care Surgery

21st Century Management of Enterocutaneous Fistulas

Activity Details
  • Credit Type: CME
  • Credit Amount: 1.00
  • Cost: Free
  • Release: Oct 17, 2018
  • Expires: Oct 16, 2021
  • Estimated Time to Complete:
    1 Hour(s)
  • Average User Rating:
    (1 Rating)


Daniel D.  Yeh Daniel D. Yeh, MD, FACS, FCCM
Associate Professor
University of Miami
Miami, Florida

Needs Statement

Enterocutaneous fistula is a devastating complication which has significant consequences for the patient and is challenging to treat. Significant advances have been made over and the treatment paradigm has evolved. Clinicians caring for this disease should be familiar with the overall approach to treating an enterocutaneous fistula.

Target Audience

Healthcare professionals of acute care, trauma and general surgeons.


Upon completion of this actvity, participants will be able to:

  • Discuss how to apply the three-phase approach to the treatment of enterocutaneous fistulas
  • Describe the application of negative pressure wound therapy (NPWT) to an open abdominal wound and how to isolate a fistula
  • Describe the appropriate steps for initiating fistuloclysis and re-infusion of succus entericus


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Kentucky College of Medicine, and Eastern Association for the Surgery of Trauma. The University of Kentucky College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of Kentucky College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The University of Kentucky College of Medicine presents this activity for educational purposes only. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected for presentations because of recognized expertise in their field.

ACGME Competencies

  • Patient care
  • Medical knowledge
  • Practice-based learning and improvement
  • Interpersonal and communication skills
  • Professionalism
  • Systems-based practice

Faculty Disclosure

Daniel Yeh, Speaker, has relevant financial relationships with commercial interests as follows:
Up To Date, Author, Royalties 

No planners or content reviewers have any relevant financial relationships to disclose. 

The material presented in this course represents information obtained from the scientific literature as well as the clinical experiences of the speakers. In some cases, the presentations might include discussion of investigational agents and/or off-label indications for various agents used in clinical practice. Speakers will inform the audience when they are discussing investigational and/or off-label uses.

Content review confirmed that the content was developed in a fair, balanced manner free from commercial bias. Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation. 


This activity is jointly provided by the University of Kentucky and Eastern Association for the Surgery of Trauma.