Publication Name	World Journal of Critical Care Medicine
Manuscript ID	126498
DOI	10.5492/wjccm.126498
Country	United States

Category	Surgery
Manuscript Type	Review
Article Title	Enteroatmospheric fistula in the open abdomen: A critical care perspective on physiologic derangement, nutritional support, and timing of reconstruction
Manuscript Source	Invited Manuscript
All Author List	Sariya Khan, Husna Irfan Thalib, Aleena Zobairi, Saleha Khan, Humaira Khalidi, Rafael Dib Possiedi and Marcelo Augusto Fontenelle Ribeiro Junior
Funding Agency and Grant Number
Corresponding Author	Marcelo Augusto Fontenelle Ribeiro Junior, Consultant, Director, FACS, Professor, Department of Surgery, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, United States. drmribeiro@gmail.com
Key Words	Open abdomen; Enteroatmospheric fistula; Critical care; Nutritional support; Fistuloclysis; Negative-pressure wound therapy; Abdominal reconstruction
Core Tip	Enteroatmospheric fistula is created in the operating room, but its outcome is determined in the intensive care unit. Survival depends less on the reconstructive technique eventually chosen than on how the catabolic, septic and fluid-deranged interval preceding it is managed. This review organizes enteroatmospheric fistula care around three critical care endpoints - control of physiologic derangement, delivery of adequate nutrition, and physiologic readiness for reconstruction - and proposes that the timing of definitive repair be determined by these variables rather than by elapsed time since the index operation.
Citation	Khan S, Thalib HI, Zobairi A, Khan S, Khalidi H, Dib Possiedi R, Ribeiro Junior MAF. Enteroatmospheric fistula in the open abdomen: A critical care perspective on physiologic derangement, nutritional support, and timing of reconstruction. World J Crit Care Med 2026; In press DOI: https://doi.org/10.5492/wjccm.126498
PDF	126498-in-press.pdf

Received	2026-08-06 02:12
Peer-Review Started	2026-08-06 02:12
First Decision by Editorial Office Director
Return for Revision	2026-08-27 06:16
Revised	2026-08-27 17:01
Publication Fee Transferred
Second Decision by Editor	2026-10-12 03:05
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-10-12 10:19
Articles in Press	2026-10-12 10:19
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3141(online)
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