system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
Fistula leading to the highest electrolyte imbalance is?
assistant
The correct answer is  Gastric REP: Sabiston 17' ed p. 324, CSDT 11th ed p. 696 Enterocutaneous fistula: Most common: iatrogenic High output > 500 ml/d The more proximal the fistula, more severe are complications. Complications: fluid and electrolytes, malnutrition, necrosis of skin, sepsis leading to multi organ failure and death.