It is taken to mean heart pain, although chest pain may be due to cramp, spasm in the chest wall muscles, acid flowing back from the stomach, inflammation of the lung surface (pleurisy), or the start of shingles.
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Overview. A fistula is an abnormal communication between 2 epithelialized surfaces, with an enterocutaneous fistula (ECF) being an abnormal communication between the small or large bowel and the skin.An ECF can arise from the duodenum, jejunum, ileum, colon, or rectum.(See the image below.).nteroatmospheric fistula (EAF), a special subset of ECF, is defined as a communication between the gastrointestinal (GI) tract and the atmosphere. It can occur as a complication of damage control laparotomy (DCL) and results in significant morbidity and mortality.