Case Series
 
Enterocutaneous fistula: Successful treatment of two cases with urinary bladder matrix xenograft
Kent C. Sasse1, David L. Warner1
1University of Nevada School of Medicine.

doi:10.5348/ijcri-201509-CS-10060

Address correspondence to:
David L. Warner
BS, University of Nevada School of Medicine
75 Pringle Way, Suite 804
Reno, NV 89502
Phone: (775) 829-7999
Fax: (775) 829-7970

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How to cite this article
Sasse KC, Warner DL. Enterocutaneous fistula: Successful treatment of two cases with urinary bladder matrix xenograft. Int J Case Rep Images 2015;6(12):730–733.


Abstract
Introduction: Enterocutaneous fistula (ECF) represents a challenging clinical condition in surgery. Two cases of ECF are presented that were successfully treated with MatriStem, a porcine urinary bladder matrix xenograft application.
Case Series: The cases were treated with a procedure involving curettage of the tract, followed by injection of a MatriStem slurry, and insertion of a rolled MatriStem graft. In both cases, the ECF ceased to drain bilious fluid. After a week, both patients began a liquid diet, and no recurrent fistula occurred after six months of follow-up.
Conclusion: In this study, treatment of ECF using MatriStem resulted in successful clinical healing of the ECF. The use of biologically derived materials for ECF is a relatively new concept. There is precedent for using biological plugs with some reported examples of success, but use of porcine urinary bladder matrix is novel for this purpose.

Keywords: Cancer, Enterocutaneous fistula, Minimally invasive procedures, Xenograft, Urinary bladder matrix


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Author Contributions:
Kent C. Sasse – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
David L. Warner – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Kent C. Sasse et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.