Abstract
A 78-year-old woman underwent right hemicolectomy along with the resection of a large part of the small intestine,and was provided with a jejunal fistula because of obstruction of the superior mesenteric artery due to advanced pancreatic cancer.
In this case,expulsion of 800 ml/day of stimulative intraintestinal liquid caused severe erosion of the area surrounding the subsided jejunal fistula.
In spite of frequent changes of gauze dressings（3 times a day）,the skin problem grew worse and she complained of severe pain,itching,and insomnia. After use of the pouch drainage technique,using an open-top Surgedrain（Alcare Co.,Ltd.）,and administration of a hydrophobic skin protector,UniSalve（United,Inc.）,skin damage improved,and treatment was repeated once every 4-5 days.
Appropriate management of jejunal fistula is necessary for improving the daily lives of patients and for reducing the workload of nursing staff.
