About Intestinal Fistula
Key Highlights
-
Resolves abnormal connections that cause leakage of intestinal contents.Treats underlying conditions like Crohn's disease or surgical complications.Prevents serious infections and sepsis from chronic leakage.Improves nutritional absorption and overall patient health.Performed by specialized Surgical Gastroenterologists for precise care.Can often be done with minimally invasive (laparoscopic) techniques for faster recovery./ul
Who is this surgery for?
- Fistulas caused by inflammatory bowel diseases like Crohn's disease or ulcerative colitis.
- Complications from previous abdominal or pelvic surgeries.
- Fistulas resulting from diverticulitis or appendicitis.
- Traumatic injuries to the abdomen.
- Fistulas associated with cancers of the gastrointestinal tract.
- Chronic, non-healing fistulas causing infection, skin breakdown, or severe malnutrition.
- Failure of conservative management with antibiotics, nutrition support, or drainage.
How to prepare
- Comprehensive evaluation including CT scan or fistulogram to map the fistula tract.
- Nutritional assessment and possible supplementation to improve healing.
- Management of any active infection with antibiotics.
- Bowel preparation (cleansing) may be required.
- Review of current medications; some (like blood thinners) may need to be paused.
- Fasting for 8-12 hours before the surgery as instructed.
- Pre-operative counseling to discuss the procedure, risks, and recovery expectations.
Risks & possible complications
- Infection at the surgical site or within the abdomen (peritonitis).
- Bleeding during or after the procedure.
- Damage to nearby organs or structures.
- Recurrence of the fistula.
- Formation of a new fistula.
- Anastomotic leak (leakage from the reconnected intestine).
- Adhesions (scar tissue) causing future bowel obstruction.
- Risks associated with general anesthesia.
- Delayed wound healing, especially in malnourished patients.
Recovery & hospital stay
- Initial hospital stay for monitoring, pain management, and IV fluids.
- Gradual advancement from clear liquids to a soft diet as bowel function returns.
- Incision care and monitoring for signs of infection (redness, swelling, fever).
- Pain is managed with prescribed medications.
- Limited physical activity initially, with gradual increase as tolerated.
- Follow-up appointments to ensure proper healing and address any concerns.
- Long-term management of the underlying condition (e.g., Crohn's disease) is crucial to prevent recurrence.
-
Typical hospital stay: 5-10 days
-
Expected recovery time: 4-8 weeks
Frequently Asked Questions
If you are considering intestinal fistula in India, these questions and answers can help you make a confident, informed decision.
Popular choices for intestinal fistula in India include Miot Hospital Chennai, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform intestinal fistula. MediFyr helps you compare surgical gastroenterologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for intestinal fistula compare across other countries where we have data.
Top hospitals for Intestinal Fistula in India
These partner hospitals in India have dedicated surgical gastroenterology teams and experience managing patients undergoing intestinal fistula.
James Davis, a 58-year-old retired construction...
James Davis, a 58-year-old retired construction foreman, had a history of Crohn's disease for over two decades. After a complex bowel resection three years prior, he began experiencing persistent drainage of intestinal fluid and stool from a small opening on his lower abdomen. This caused severe skin irritation, recurrent infections, and made it impossible for him to leave his home for long. He was constantly fatigued, malnourished, and deeply depressed, feeling like a prisoner in his own body. His surgical gastroenterologist, after extensive imaging, diagnosed a complex enterocutaneous fistula, a tunnel connecting his intestine to the skin. The doctor recommended a definitive surgical repair, explaining that while nutrition optimization and wound care were temporary measures, surgery was the only path to closure and a normal life. James underwent a meticulous procedure where the fistula tract was excised, the healthy ends of his intestine were reconnected, and the abdominal wall was reinforced with a biologic mesh. The initial recovery in the hospital was challenging, with a temporary ileostomy to protect the repair. After three months, the ileostomy was successfully reversed. A year later, James is fistula-free. His skin has healed, his energy has returned, and he has regained 15 pounds. Emotionally, he moved from a state of hopelessness and isolation to one of profound gratitude and renewed engagement with his family and hobbies, like fishing, which he thought he'd lost forever.
Surgical Gastroenterologists for Intestinal Fistula
Explore experienced surgical gastroenterologists who regularly perform intestinal fistula and provide pre- and post-operative care in India.
- 35 Years Experience
- Surgical Gastroenterologist
Miot Hospital Chennai, Chennai
- 10 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Sarjapur Road, Bangalore
- 33 Years Experience
- Surgical Gastroenterologist
- 19 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Whitefield, Bangalore
- 17 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 25 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Vijayawada, vijayawada
- 11 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Vijayawada, vijayawada
- 16 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Malleshwaram, Bangalore
- 13 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Malleshwaram, Bangalore
- 13 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Jayanagar, Bangalore
- 12 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Jayanagar, Bangalore
- 30 Years Experience
- Gastroenterologist
SIMS Hospital Vadapalani, Chennai
- 25 Years Experience
- Surgical Gastroenterologist
SIMS Hospital Vadapalani, Chennai
- 29 Years Experience
- Surgical Gastroenterologist
SIMS Hospital Vadapalani, Chennai
- 18 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Hebbal, Bangalore
- 22 Years Experience
- Surgical Gastroenterologist
Kamineni Hospital, Tadigadapa, vijayawada
- 4 Years Experience
- Surgical Gastroenterologist
Kamineni Hospital, King Koti, Hyderabad
- 14 Years Experience
- Surgical Gastroenterologist