Table 2

Clinical-instrumental methods used for diagnosing gastrointestinal fistulae (adapted from Falconi and colleagues14)

• Monitor
    —fistula output volume
    —fistula aspect (colour, etc.)
    —water-electrolyte balance
    —biochemical evaluation (amylase, lipase, bilirubin, pH, etc.)
    —infection status
    —nutritional/metabolic status
• Methylene blue test
• Upper or lower gastrointestinal endoscopy
• Digestive tract x rays with water soluble contrast medium
• Fistulography with water soluble contrast medium
• Ultrasonography
• Computerised axial tomography
• Magnetic resonance imaging