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| enterocutaneous fistula (1) 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. 2) An enterocutaneous fistula (ECF) is an abnormal connection that develops between the intestinal tract or stomach and the skin. amatsyuk) | |||