The management of an enterocutaneous fistula often presents a particular challenge for the WOC nurse. This generalization proved especially true in the following case of a patient with an ileostomy and an enterocutaneous fistula who received salvage intravenous paclitaxel (Taxol) chemotherapy. The fistula underwent numerous changes after its development, necessitating multiple modifications in the pouching system. This article describes the management of this rapidly evolving fistula in a middle-aged woman with metastatic ovarian cancer.
Reprint requests: Barbara L. Wiltshire, RN, MSN, CCRN, CNS, CETN, Enterostomal Therapy Clinical Nurse Specialist, Henrico Doctors' Hospital, 1602 Skipwith Rd., Richmond, VA 23229.
Copyright © 1996 by the Wound, Ostomy and Continence Nurses Society