Experience of home enteral nutritional support in the diagnosis and treatment of patients with high intestinal fistulae
10.3760/cma.j.cn113855-20231225-00435
- VernacularTitle:家庭肠内营养支持在高位肠瘘患者诊疗中的应用经验
- Author:
Sijia LI
1
;
Bingjun TANG
;
Tianlei XU
;
Zhuonan ZHUANG
;
Qian ZHANG
;
Feng WANG
;
Yuanxin LI
Author Information
1. 清华大学附属北京清华长庚医院胃肠外科，北京 102218
- Keywords:
Intestinal fistula;
Enteral nutrition
- From:
Chinese Journal of General Surgery
2024;39(3):183-187
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the impact of home enteral nutrition (HEN) on the treatment strategy of patients with high position intestinal fistula.Methods:The clinical and follow-up data of 36 patients with high position intestinal fistula requiring HEN treated in Beijing Tsinghua Changgung Hospital from Jan 2021 to Sep 2023 was retrospectively analyzed.Results:Among the 36 cases, 2 had indwelling nasogastric tubes, 12 had indwelling nasojejunal nutritional tubes, and 22 had percutaneous jejunostomy. The incidence of HEN-related complications in patients was 13.9%, and there were no serious catheter complications.During HEN, high position intestinal fistula healed in 19 cases (52.8%), returned to the hospital for the next stage of intestinal fistula treatment in 11 cases (30.6%), needed to return to the hospital for nutritional support in 1 case (2.8%), and intestinal fistula aggravated to terminate HEN in 2 cases (5.6%).Conclusion:Under the management of professional team, HEN via nasogastric/jejunal nutritional tube or percutaneous jejunostomy is safe and feasible in patients with high intestinal fistula.
