Do you know what a fistula actually is? The enteroatmospheric fistulas and enterocutaneous fistulas are usually the result of an intestinal leak.

Even though the close follow up of the patient is a cornerstone in the early diagnosis of the intestinal leak, there is evidence that when the treating physician is thinking of a possible diagnosis  on an earlier manner  highly impacts evolution.

Current treatment actually depends on the moment in which the diagnosis is made, which makes the treatment quite varied and with total absence of a standardized criteria.

In recent years, the American society of parenteral and enteral nutrition  and the Latin American federation of enteral and parenteral nutrition collaborated as a unit to edit the ASPEN-FELANPE clinical guidelines where  the entero-cutaneous fistulas was consistently described as <500ml or >500ml effluent, however, as of today, there is no such thing as a generalized and broadly implemented classification for fistulas or intestinal leaks.

Treatment and surgical techniques that are being implemented are based on series of case reports as well as retrospective series with a staggering amount of method flaws.

There is enough evidence to demonstrate that the failure to achieve an early and accurate diagnosis of intestinal leaks and intestinal fistulas is a common denominator in such patients.

As of today there are no global cross-sectional surveys to describe the prevalence of the gastrointestinal leak/fistula and that is the reason fistula day was born, an idea that took place over 22 years ago, today is a reality.

This will be a cross sectional observational study, a cohort study that will take place with a survey in May 8th 2018 on the so called fistula day. That day, a link to answer a survey of 60 questions will be sent out to all the registered participant and will have only a 24 hour time frame to  report their respective cases. Surgeons and physicians all around the world will be reporting over a 24 hour time frame, can you imagine all the  the possibilities?

The study intends to generate new epidemiological data about how frequent the problem is, how  the diagnosis and treatment approaches differ from one country to another or a major hospital center from another, as well as the risk factors, and the level of standardization that current managements have.

The study intends to propose unified and standardize criteria for diagnosis as well as for treatment. Disregarding the country of origin.

24 hours, surgeons all around the world.  See you May 8th!