The DOI matches its Crossref record; 36 of the 36 references it cites were found in a registry or an index.
Treatment Strategies in 135 Consecutive Patients with Enterocutaneous Fistulas
Open accessAbstract
Background: Enterocutaneous fistulas (ECF) pose a major challenge to every gastrointestinal (GI) surgeon. Based on earlier studies, a standardized treatment guideline was implemented. The focus of the present study was to assess that guideline and determine prognostic factors for outcome of patients with ECF, and to define a more detailed therapeutic approach including the convalescence time before restorative surgery. Methods: All patients with ECF treated between 1990 and 2005 were included. Management consisted of controlling Sepsis, Optimization of nutritional state, Wound care, assessment of fistula Anatomy, Timing of surgery, and Surgical strategy (the SOWATS guideline). Prognostic factors were assessed by way of multiple logistic regression analysis. Results: A total of 135 patients were treated at our unit. Overall closure was achieved in 118 patients (87.4%). Restorative operations for fistula closure were performed after a median of 53 days (range: 4–270 days). Restorative operations were successful in 97/107 patients (90.7%). Thirteen patients (9.6%) died. An abdominal wall defect was the most predominant negative prognostic factor for spontaneous closure (odds ratio [OR] = 0.195, confidence interval [CI] 0.052–0.726, p = 0.015). A strong relation was found between preoperative albumin level and surgical closure (p < 0.001) and mortality (p < 0.001). Conclusions: Application of the SOWATS guideline allowed a favorable outcome after a short convalescence period. Abdominal wall defects and preoperative hypoalbuminemia are important prognostic variables.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“When this approach is successful, nutrition support becomes effective, promoting fat‐free mass (muscle) and adequate healing after eventual reoperation, for instance, to restore”
From Hypoalbuminemia: Pathogenesis and Clinical Significance (2019) · cites this paper as [100]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“Despite not always appreciating the precise cause of the connection with inflammation, many surgeons know that a low serum albumin level is a bad omen for outcome after surgery.100, 132, 133, 134, 135, 136, 137, 138”
From Hypoalbuminemia: Pathogenesis and Clinical Significance (2019) · cites this paper as [100]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Preoperative Serum Albumin Level as a Predictor of Operative Mortality and Morbidity
Gibbs, J. O. (1999) · Archives of Surgery · doi:10.1001/archsurg.134.1.36 · Cited by 1,016
Percutaneous Catheter Drainage of Abdominal Abscesses
Gerzof, S. G., Robbins, A. H., Johnson, W. C., Birkett, D. H., & Nabseth, D. C. (1981) · New England Journal of Medicine · doi:10.1056/nejm198109173051201 · Cited by 366
External Fistulas Arising from the Gastro-intestinal Tract °
Edmunds, H. L., Williams, G. M., & Welch, C. E. (1960) · Annals of Surgery · doi:10.1097/00000658-196009000-00009 · Cited by 294
Staged Management of Giant Abdominal Wall Defects
Jernigan, T. W., Fabian, T. C., Croce, M. A., Moore, N., Pritchard, F. E., Minard, G., & Bee, T. K. (2003) · Annals of Surgery · doi:10.1097/01.sla.0000086544.42647.84 · Cited by 283
Incidence and mortality of hypoalbuminemic patients in hospitalized veterans.
Reinhardt, G., Myscofski, J. W., Wilkens, D. B., Dobrin, P., Mangan, J., & Stannard, R. T. (1980) · JPEN - Journal of Parenteral and Enteral Nutrition · doi:10.1177/014860718000400404 · Cited by 247
Nutrition and management of enterocutaneous fistula
Lloyd, D. A., Gabe, S. M., & Windsor, A. C. J. (2006) · British journal of surgery · doi:10.1002/bjs.5396 · Cited by 235
An 11-year experience of enterocutaneous fistula
Hollington, P., Mawdsley, J. E. D., Lim, W. C., Gabe, S. M., Forbes, A., & Windsor, A. C. J. (2004) · British journal of surgery · doi:10.1002/bjs.4788 · Cited by 231
Current Management of Enterocutaneous Fistula
Evenson, A. R., & Fischer, J. E. (2006) · Journal of Gastrointestinal Surgery · doi:10.1016/j.gassur.2005.08.001 · Cited by 230
Clinical Outcome and Factors Predictive of Recurrence After Enterocutaneous Fistula Surgery
Lynch, A. C., Delaney, C. P., Senagore, A. J., Connor, J. T., Remzi, F. H., & Fazio, V. W. (2004) · Annals of Surgery · doi:10.1097/01.sla.0000143895.17811.e3 · Cited by 227
Review of 404 Patients with Gastrointestinal Fistulas Impact of Parenteral Nutrition
Soeters, P. B., Ebeid, A. M., & Fischer, J. E. (1979) · Annals of Surgery · doi:10.1097/00000658-197908000-00012 · Cited by 216
Self-citation
Research works printed but not linked: 1
- Rinsema W, 1992, Department of Surgery, 175
Cited by
Sorted by citations
Hypoalbuminemia: Pathogenesis and Clinical Significance
Soeters, P. B., Wolfe, R. R., & Shenkin, A. (2019) · Journal of Parenteral and Enteral Nutrition · doi:10.1002/jpen.1451 · Cited by 1,448
Self-citationESPEN guidelines on chronic intestinal failure in adults
Pironi, L., Arends, J., Bozzetti, F., Cuerda, C., Gillanders, L. K., Jeppesen, P. B., Joly, F., Kelly, D. G., Lal, S., Staun, M., et al. (2016) · Clinical Nutrition · doi:10.1016/j.clnu.2016.01.020 · Cited by 741
ESPEN endorsed recommendations. Definition and classification of intestinal failure in adults
Pironi, L., Arends, J., Baxter, J. P., Bozzetti, F., Burgos, R., Cuerda, C., Forbes, A., Gabe, S. M., Gillanders, L. K., Holst, M., et al. (2014) · Clinical Nutrition · doi:10.1016/j.clnu.2014.08.017 · Cited by 691
Self-citationESPEN guideline: Clinical nutrition in inflammatory bowel disease
Forbes, A., Escher, J., Hébuterne, X., Kłęk, S., Krznaric, Z., Schneider, S., Shamir, R., Stardelova, K., Wierdsma, N., Wiskin, A. E., et al. (2017) · Clinical Nutrition · doi:10.1016/j.clnu.2016.12.027 · Cited by 625
RetractedESPEN guideline on Clinical Nutrition in inflammatory bowel disease
Bischoff, S. C., Bager, P., Escher, J. C., Forbes, A., Hébuterne, X., Hvas, C. L., Joly, F., Kłęk, S., Krznarić, Ž., Ockenga, J., et al. (2023) · Clinical Nutrition · doi:10.1016/j.clnu.2022.12.004 · Cited by 399
Metadata
- Authors
- Visschers, R. G. J., Damink, S. W. M. O., Winkens, B., Soeters, P. B., & van Gemert, W. G.
- Affiliations
- Maastricht University Medical Centre (NL)
- Department of Methodology and Statistics Maastricht University PO Box 5800 6202 Maastricht AZ The Netherlands
- Department of Surgery, Intestinal Failure Institute Maastricht and Nutrition & Toxicology Research Institute Maastricht (NUTRIM) University Hospital Maastricht Maastricht The Netherlands
- Venue
- World Journal of Surgery
- Publisher
- Wiley
- Published
- 2008-01-04
- Volume
- 32
- Issue
- 3
- Pages
- 445-453
- ISSN
- 0364-2313 (ISSN-L)
- 1432-2323
- PMC
- PMC2248608
- OpenAlex
- W2041289969
- Cited by
- 184
- References
- 35
- Citations by year
- 2026: 11 · 2025: 14 · 2024: 7 · 2023: 12 · 2022: 9 · 2021: 12 · 2020: 13 · 2019: 4 · 2018: 8 · 2017: 12 · 2016: 16 · 2015: 5 · 2014: 5 · 2013: 11 · 2012: 8
- FWCI
- 11.03
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- World Journal of Surgery (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion, cc-by-nc)
- Research Publications (Maastricht University) (submittedVersion, cc-by-nc)
- Funders
- ZonMw (40‐00703‐97‐06‐177)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal Surgery and Complications
- Health Sciences › Medicine › Surgery › Diverticular Disease and Complications
- Health Sciences › Medicine › Surgery › Infectious Aortic and Vascular Conditions
- Keywords
- enterocutaneous fistula, restorative surgery, spontaneous fistula closure, prognostic factors, abdominal wall defect, hypoalbuminemia, preoperative nutritional optimization, sepsis treatment, wound care, timing of surgery, mortality
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Intestinal Fistula, Male, Middle Aged, Regression Analysis, Retrospective Studies, Practice Guidelines as Topic, Cutaneous Fistula, Negative-Pressure Wound Therapy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
