This video explains what exactly fistulas are, and then goes into detail about enterocutaneous fistulas and the often-asked about FRIENDS of the fistula mnemonic. Clinical relevance of the FRIENDS factors are discussed, including how you might use them to keep open a therapeutic EC fistula (e.g. a G tube), or mitigate them to heal an unwanted fistula.

FRIENDS:
Foreign body
Radiation
Inflammation/Infection
Epithelialization
Neoplasm
Distal Obstruction (of the bowel itself, NOT the fistula)
Steroids

These videos are for educational purposes only. Do not use to diagnose or treat any disease. This is not clinical advice.

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