{"id":14120,"date":"2020-06-22T11:25:56","date_gmt":"2020-06-22T04:25:56","guid":{"rendered":"https:\/\/www2.si.mahidol.ac.th\/km\/?p=14120"},"modified":"2020-06-22T13:38:58","modified_gmt":"2020-06-22T06:38:58","slug":"enteroatmospheric-fistula-in-the-large-fungating-wound-and-enterocutaneous-fistula","status":"publish","type":"post","link":"https:\/\/www2.si.mahidol.ac.th\/km\/cop\/clinical\/ostomy\/14120\/","title":{"rendered":"Enteroatmospheric Fistula in the large fungating wound and Enterocutaneous Fistula"},"content":{"rendered":"

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\u0e2a\u0e32\u0e23\u0e30\u0e04\u0e27\u0e32\u0e21\u0e23\u0e39\u0e49 CoP \u0e41\u0e1c\u0e25\u0e41\u0e25\u0e30\u0e2d\u0e2d\u0e2a\u0e42\u0e15\u0e21\u0e35 (Wound and Ostomy)
\nEnteroatmospheric Fistula in the large fungating wound and Enterocutaneous Fistula<\/p>\n

Arittiporn Chuntra,<\/em>
\nNongluk Sansom<\/em>
\nSiriraj Hospital, Mahidol University, Thailand<\/em><\/p>\n

A fistula is an abnormal epithelialized connection between two bodies with intestinal tract and skin. The effluent from intestinal tract is contain proteolytic digestive enzymes (Hoedema,R.E.,& Suryadevara S.,2010) as a fungating wound is often produce excessive exudate. The effect of continuous moisture from effluent and exudate are skin damage. A suitable care with these situation are skin prevention. The problem of Enteratmospheric Fistula (EAF), Enterocutaneous Fistula (ECF) and fungating wound are malodor, bleeding, risk for skin irritation from excessive effluent and exudate which difficult to control including patient discomfort. The principles of wound care are vital importance.<\/p>\n

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