Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What is a reliable method to promote spontaneous closure of a fistula?

1. Increase fistula output

2. Limit oral intake

3. Enhance physical activity

4. Use corticosteroids

The correct answer is: Limit oral intake

Limiting oral intake is an effective method to promote spontaneous closure of a fistula. This approach reduces the gastrointestinal tract's content, which can decrease the output of intestinal fluids through the fistula. By minimizing the input, it can promote a better environment for healing and closure of the fistula. When oral intake is limited, the bowel is less distended, which can decrease the pressure at the site of the fistula. This can lead to improved healing conditions, allowing the tissue around the fistula to recover and potentially close. Other methods that increase output or involve physical activities may contribute to greater stress on the fistula site and hinder healing. Similarly, corticosteroids can suppress inflammation, but they are often not directly related to promoting closure and could affect healing processes negatively in some cases. Thus, limiting oral intake stands out as a beneficial strategy in managing fistulas effectively.