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Pediatrics Conference 2018
Journal of Pediatric Care
ISSN: 2471-805X
Page 53
March 26-27, 2018
Edinburgh, Scotland
2
nd
Edition of International Congress on
Pediatrics
E
nterocutaneous fistula in neonates and children is a very
challenging condition, with a low incidence but a significant
morbidity and mortality. Conservative management is the
cornerstone of treatment, although the role of octreotide and
somatostatinintheclosureofthefistulastillremainscontroversial.
We present an extensive literature review together with a case
vignette to illustrate the different aspects of the treatment with
these drugs. The great diversity among published treatment
regimens makes outcomes difficult to compare. Nevertheless,
given the results in the cases reported in the literature and in
our patient, we suggest a possible beneficial effect of octreotide
and somatostatin on closure of enterocutaneous fistula. It is
necessary to perform a multicenter, double-blind, randomized,
placebo-controlled trial to determine the efficacy of octreotide
and somatostatin and the most suitable treatment regimen to
optimize conservative management of this complex condition.
noelacarrera@hotmail.comEnterocutaneous fistula in neonates and children: the role of
octreotide and somatostatin in the conservative management
Noela Carrera Guermeur
Virgin Health Hospital, Toledo, Spain
J Pediatr Care, Volume 4
DOI: 10.21767/2471-805X-C1-006