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Fistulas can be classified based on various factors, including anatomical location, clinical presentation, surgical considerations, size, complications, and specific locations. Here's a comprehensive overview: Anatomical Classification Enterocutaneous Fistula: Between the intestine and the skin. Enteroenteric or Enterocolic Fistula: Between different parts of the intestine. Enterovesical Fistula: Between the intestine and the bladder. Enterovaginal Fistula: Between the intestine and the vagina. Rectovaginal Fistula: Between the rectum and the vagina. Tracheoesophageal Fistula: Between the trachea and the esophagus. Clinical Classification Low-Output Fistulas: Less than 200 mL/24 hours. Moderate-Output Fistulas: Between 200-500 mL/24 hours. High-Output Fistulas: More than 500 mL/24 hours. Surgical Classification Simple Fistulas: Single tract, easier to treat. Complex Fistulas: Multiple tracts, may involve other organs or tissues, more difficult to treat. Size Classification Small Fistulas: Minimal tissue involvement. Large Fistulas: Extensive tissue involvement, often with significant scarring. Complications Classification Infection: Local or systemic infection due to the fistula. Sepsis: Severe systemic infection. Electrolyte Imbalance: Due to fluid loss from high-output fistulas. Malnutrition: Due to nutrient loss. Skin Irritation: Due to constant drainage. Location Classification Superficial Fistula: Close to the skin surface. Intersphincteric Fistula: Between the internal and external anal sphincters. Trans-sphincteric Fistula: Crossing both the internal and external anal sphincters. Suprasphincteric Fistula: Above the sphincter muscles. Extrasphincteric Fistula: Originating outside the sphincter muscles. #Fistula