How do you handle patients with suspected or diagnosed gastrointestinal fistulas?

Sample interview questions: How do you handle patients with suspected or diagnosed gastrointestinal fistulas?

Sample answer:

Management of Patients with Gastrointestinal Fistulas:

• Assessment:

  • Thorough history and physical examination to identify fistula site, extent, and underlying cause.
  • Imaging studies (e.g., CT scan, MRI) to confirm fistula location and rule out complications.

• Treatment:

  • Conservative measures:
    • Nutritional support (enteral or parenteral) to maintain nutritional status.
    • Antibiotics to prevent/treat infection.
    • Dressing changes to manage drainage and prevent skin irritation.
  • Surgical intervention:
    • Surgical repair or diversion of the fistula tract may be necessary to close the fistula and prevent complications.

• Complications:

  • Monitor for signs of infection (fever, chills, elevated white blood cell count).
  • Manage pain and discomfort associated with drainage.
  • Promote nutritional status and prevent malnutrition.

• Patient Education:

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