Small Bowel Disorders — Practice
A 38-year-old man develops a high-output enterocutaneous fistula on the 6th postoperative day after a small-bowel resection for Crohn's disease. After resuscitation and sepsis control, which factor is the single most important determinant of whether this fistula will close spontaneously on conservative management?
AAbsence of distal bowel obstruction
BDaily fistula output below 200 mL
CUse of total parenteral nutrition
DLength of the fistula tract beyond 2 cm