This document defines gastrointestinal fistulas and outlines their classification, causes, symptoms, treatment approach, and complications. It describes how fistulas are abnormal connections between the GI tract and other organs or skin. Treatment is organized into four phases - stabilization, investigation, conservative management, and definitive surgery. The goal of stabilization is resuscitation, sepsis control, nutrition, and drainage management. Conservative treatment aims to allow spontaneous closure, while surgery is indicated for failed non-operative treatment or complex fistulas. Prognosis depends on factors like etiology, nutrition status, and sepsis control.