Leaky gut in the clinical refers to intestinal fistula, intestinal fistula is usually need surgery, intestinal fistula, if you can self-healing usually do not need surgery, correct drainage and control of infection can be; if you can not self-healing, you need surgery. Whether intestinal fistula must do surgery, according to the patient’s specific situation to determine, this disease can be divided into two categories of intestinal fistula and intestinal fistula: 1. where intestinal fistula refers to the formation of abnormal channels between the intestine and other organs, this kind of intestinal fistula in the elimination of the primary disease (such as tumors, abdominal inflammation, etc.), usually need to be treated by surgery. 2. Extra-intestinal fistula refers to the formation of abnormal channels between the intestinal tract and the body surface and the abdominal cavity, this disease may lead to a large amount of intestinal fluid leakage or abdominal infection, if the patient can realize self-healing through the control of drainage, correction of water and electrolytes, and control of infection, surgery is not required, if the condition is more serious, surgery is required. Since the specific conditions of patients vary, the need for surgery also varies, and for specific cases, you can follow your doctor’s instructions.