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December 10, 1982

Intestinal Fistulas

JAMA. 1982;248(22):3034-3035. doi:10.1001/jama.1982.03330220074048

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A surgical generation has now passed since the introduction into clinical practice of total parenteral nutrition, with its promise for those patients afflicted with an abnormal communication of the gastrointestinal tract. It is now time to evaluate the impact of modern treatment methods on fistula care. The authors of Intestinal Fistulas have drawn on their extensive referral and consulting experience in the United Kingdom to analyze the progress made in the treatment of fistulas and to organize this information into an effective treatment.

Indeed, organization is the keynote of this book, which is wonderfully economical. In 220 pages of straight-forward prose the authors discuss methods of nutritional maintenance, investigations of the fistula patient, nursing care, surgical techniques of fistula closure, and, most important, a method of arriving at the therapeutic decisions that mean the difference between life and death. There are also chapters dealing with esophageal, gastric, biliary, and pancreatic