Enterocutaneous Fistula Management — SCE Palliative Medicine MCQ
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Correct answer: D — Restore physiology, control output, protect skin and individualise nutrition
Explanation lettering: B = shown as A · C = shown as B · E = shown as C · A = shown as E
D is correct. Initial care stabilises fluid and electrolytes, quantifies and contains output, protects skin with specialist stoma or wound input and develops an individual nutrition plan; surgery depends on anatomy, prognosis and goals after stabilisation. B omits other urgent domains, C may worsen uncontrolled losses, E damages skin and does not close a fistula, and A bypasses optimisation and proportionality.
Reference: NICE CG32: nutrition support for adults: https://www.nice.org.uk/guidance/cg32/chapter/Recommendations