A 65-year-old man undergoes a right hemicolectomy with a primary… — Surgery MCQ — TG.ME

A 65-year-old man undergoes a right hemicolectomy with a primary anastomosis for a stage II, right-sided, colon adenocarcinoma. Five months postoperatively the patient presents with a distal ileocutaneous fistula. Which of the following is the most appropriate initial therapy? (A) Prompt exploration and interruption of the fistula tract (B) Prompt exploration and bypass of the fistula (C) A 4–6-week trial parenteral nutrition (D) Prompt exploration with resection of the involved ileum and primary anastomosis (E) Ileostomy and ileocecal resection