Table 127 Factors involved in failure of fistula closure

Factor Details

Site of fistula Small intestinal fistula have worse prognosis (mortality over 15%) whereas the left colonic fistula has the best prognosis with practically no mortality.

Output High output fistula has a worse prognosis and is less likely to close

Number Those with more than one fistula (Crohn's) are less likely to close spontaneously.

Severity of presentation Patients presenting with poor nutritional status, sepsis, pancreatic necrosis, tissue loss have a more protracted outcome.

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