Enterocutaneous fistula: Role of early bowel diversion

Management of enterocutaneous fistula has been done with a protocol of delayed surgery ranging from 3 to 6 months postoffending surgery in a bid to forestall further bowel fistulae in a hostile abdomen. However, the role of early bowel diversion for source control of peritoneal fecal contamination in situations of overwhelming sepsis is illustrated with three postoperative enterocutaneous fistulas successfully managed with early bowel diversion.