case_images: PMC11835223_01
case_images: Implanted bogota bag and large fistula system.
case_images: 1980-220X-reeusp-58-e20240369-gf02.jpg
case_images: PMC11835223_01_1980-220X-reeusp-58-e20240369-gf02.jpg
case_images: F2
case_images: Undergoing laparotomy, choleperitoneum with ischemic necrosis of the left colon was found, resulting in the need for a left colectomy, followed by the creation of a Hartmann colostomy, cleaning of the peritoneal cavity, treatment of cholestasis of the ducts of Luschka and alternative closure by laparotomy with a Bogota bag (Figure 2). EAF formation on the laparotomy plate on 11/12/2022. EAF presented with wide, labiate, everted fistulae, with high output of effluent secretion around 500 to 800 ml per day collected by a large fistula system (Figure 2).
case_images: Image of the endoscopic route for passing a catheter into the jejunostomy.
case_images: 1980-220X-reeusp-58-e20240369-gf03.jpg
case_images: PMC11835223_01_1980-220X-reeusp-58-e20240369-gf03.jpg
case_images: F3
case_images: The patient underwent passage of nasoenteric catheter endoscopically in the distal loop of the fistula as part of the treatment, establishing a jejunostomy (Figure 3). The white sticker around the catheter and attached to the collection device is a button that helps hold the catheter in place (Figure 3).
case_images: Equipment used for the fistuloclysis procedure and removal of effluent from the collection equipment, open system for collection and reinfusion through an infusion set after filtration.
case_images: 1980-220X-reeusp-58-e20240369-gf04.jpg
case_images: PMC11835223_01_1980-220X-reeusp-58-e20240369-gf04.jpg
case_images: F4
case_images: The effluent was infused through a slow-drip catheter implanted for fistuloclysis, via gravity, using a macrodropper device (Figure 4).