{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:35:53Z","timestamp":1792798553111,"version":"4.5.0"},"reference-count":8,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,7,30]],"date-time":"2021-07-30T00:00:00Z","timestamp":1627603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Enterocutaneous fistula (ECF) is a serious and complex problem when affecting children, being responsible for a high morbidity burden, with an estimated mortality rate of 10 to 20%. There are many therapeutic options, including surgery and a wide variety of nonoperative strategies. Prognosis of ECF closure depends on the output and also on the patency of distal bowel. Spontaneous closure without operative intervention occurs in approximately 50% of patients with lateral ECF and distal bowel transit, but this drastically decreases in high output fistulas. High\u2010volume fistula output and consequent skin damage are a great challenge for the health\u2010care team.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We describe a postoperative complication that required a new nonoperative technique for the transient management of a lateral high\u2010output ECF, involving the insertion of an occlusive device in order to redirect intestinal content to the distal bowel, reducing the fistula output.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results and conclusions<\/jats:title><jats:p>The main benefit of this nonoperative technique is the ability to occlude a high\u2010output fistula, allowing the distal flow to be restored and reducing abdominal wall damage, as a bridge to definitive surgical closure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/petr.14105","type":"journal-article","created":{"date-parts":[[2021,7,30]],"date-time":"2021-07-30T10:49:19Z","timestamp":1627642159000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A novel technique for large lateral enterocutaneous fistula management after intestinal transplantation"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6147-9567","authenticated-orcid":false,"given":"Agustina R","family":"Oliva","sequence":"first","affiliation":[{"name":"Department Pediatric Surgery Hospital Italiano de Buenos Aires Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Violo Gonzalez","sequence":"additional","affiliation":[{"name":"Department Pediatric Surgery Hospital Italiano de Buenos Aires Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciana","family":"Lerendegui","sequence":"additional","affiliation":[{"name":"Department Pediatric Surgery Hospital Italiano de Buenos Aires Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo","family":"Sanchez Clari\u00e1","sequence":"additional","affiliation":[{"name":"Center for Rehabilitation and Transplant Hospital Italiano de Buenos Aires Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Moldes","sequence":"additional","affiliation":[{"name":"Department Pediatric Surgery Hospital Italiano de Buenos Aires Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Lobos","sequence":"additional","affiliation":[{"name":"Department Pediatric Surgery Hospital Italiano de Buenos Aires Buenos Aires Argentina"},{"name":"Center for Rehabilitation and Transplant Hospital Italiano de Buenos Aires Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,7,30]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/1119-3077.110140"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1580732"},{"key":"e_1_2_9_4_1","unstructured":"HyonSH.Relato oficial manejo de las f\u00edstulas enterocut\u00e1neas.2011;100:(1\u20102)"},{"issue":"2","key":"e_1_2_9_5_1","first-page":"82","article-title":"Manejo de estomas complicados y\/o abdomen hostil con la t\u00e9cnica de cond\u00f3n de Rivera","volume":"39","author":"Rivera P\u00e9rez M\u00c1","year":"2017","journal-title":"Diez a\u00f1os de experiencia. Cir Gen"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2005.08.001"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/0189-6725.93302"},{"issue":"3","key":"e_1_2_9_8_1","first-page":"150","article-title":"F\u00edstulas gastrointestinales en abdomen abierto (f\u00edstulas enterost\u00f3mica)","volume":"20","author":"Cadena M","year":"2005","journal-title":"Rev Colomb Cirug\u00eda"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1599273"}],"container-title":["Pediatric Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.14105","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/petr.14105","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.14105","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T06:39:46Z","timestamp":1693204786000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/petr.14105"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,30]]},"references-count":8,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1111\/petr.14105"],"URL":"https:\/\/doi.org\/10.1111\/petr.14105","archive":["Portico"],"relation":{},"ISSN":["1397-3142","1399-3046"],"issn-type":[{"value":"1397-3142","type":"print"},{"value":"1399-3046","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,30]]},"assertion":[{"value":"2021-04-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e14105"}}