True about Enterocutaneous Fistula | PGI Frequently Asked Medical PG topics

True about enterocutaneous fistula 
A. High output fistula drains 500 ml/day 
B. Malignancy is most common cause 
C. Fluid &electrolyte loss can occur 
D. No skin damage
E. Fluid and electrolyte imbalance does not occur

Ans. C. Fluid & electrolyte loss can occur
• Causes of enterocutaneous fistula
— Following operation of gangrenous appendicitis and draining of appendicular abscess
— Malignancy (carcinoma colon)
— Tubercular enteritis.
• Type of enterocutaneous fistula
—Those with high output > 1 liter /day.

--- Those with low output < 1 liter /day.
• Features

• Discharge
• Excoriation of skin [speciallyfrom duodenum]
• Fluid and electrolyte imbalance e.g. hypokalemia