Introduction:
Management of high output intestinal fistula is a
challenging task. When a fistula develops there is
rapid development of hypovolumia and electrolyte
imbalance. Also there is a tendency to do nothing at
first and see how bad it is going to be. By the time the
patient is septic, anaemic, nutritionally depleted and
having extensive breakdown of skin1. Early surgical
closure almost always fails and mortality rate further
increases2. To prevent this entire catastrophe and thus
to reduce mortality and morbidity, the problems
should be defined and classified, and a planned
approach to the management of the patients with
fistula must be followed3.