Nutritional therapy of duodenocutaneous fistula.
- Author:
Yuan-shui SUN
1
;
Qin-shu SHAO
;
Xiao-dong XU
;
Jun-feng HU
;
Ji XU
;
Dun SHI
;
Zai-yuan YE
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Duodenal Diseases; therapy; Female; Humans; Intestinal Fistula; therapy; Male; Middle Aged; Nutritional Support; Retrospective Studies
- From: Chinese Journal of Gastrointestinal Surgery 2010;13(9):681-683
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo summarize the experience in nutritional support for the management of duodenocutaneous fistula.
METHODSData of 32 patients with duodenocutaneous fistula in Zhejiang provincial people's hospital from January 1999 to December 2009 were analyzed retrospectively.
RESULTSThe mean duration of nutritional support was 35.6 days (range, 8-82 days). Eight received total parenteral nutrition, 2 total enteral nutrition, and 22 parenteral nutrition combined with enteral nutrition respectively. Succus entericus reinfusion with enteral nutrition was used in 11 cases, glutamine-enriched nutritional support in 28 cases, somatostatin in 12 cases. In these patients, the healing rate was 75.0% after conservative treatment. In the 8 patients who underwent surgery, 6 were cured and 2 died (due to severe abdominal infection and multiple organ failure). A total of 30 patients had the fistulas cured and discharged.
CONCLUSIONSParenteral nutrition combined with enteral nutrition, succus entericus reinfusion combined with enteral nutrition, glutamine-enriched nutritional support and somatostatin are important factors for the healing of duodenocutaneous fistulas.
