Fistuloclysis as a method of nutritional management in a patient with high output enteroatmospheric fistula – a case report
Authors:
L. Bébarová 1; M. Stašek 1; M. Szkorupa 1; T. Řezáč 1; P. Skalický 1; M. Horáková 2; K. Dostálová 3; M. Loveček 1
Authors‘ workplace:
I. Chirurgická klinika Lékařské fakulty Univerzity Palackého a Fakultní nemocnice Olomouc
1; Oddělení intenzivní péče chirurgických oborů lékařské fakulty Univerzity Palackého a Fakultní nemocnice Olomouc
2; Klinika anesteziologie, resuscitace a intenzivní medicíny lékařské fakulty Univerzity Palackého a Fakultní nemocnice Olomouc
3
Published in:
Rozhl. Chir., 2019, roč. 98, č. 7, s. 287-290.
Category:
Case Report
Overview
Enteric fistula is a pathological communication between the small intestine and surrounding tissue. In case of communication with body surface it is called an enterocutaneous or enteroatmospheric fistula. There are many causes of enterocutaneous/enteroatmospheric fistula occurrence. A common result is malnutrition and organ dysfunction which leads to increased morbidity and mortality of the patients. Adequate nutritional support is a very important element in the management of patients with enterocutaneous/enteroatmospheric fistulas. One of the options of nutritional support is fistuloclysis which means administration of enteral nutrition formula to the distal fistula. We present the case of 76-year-old patient with a high-localized and high output enteroatmospheric fistula in whom we were able to reach adequate nutritional status using fistuloclysis, followed by closure of the fistula.
Keywords:
fistuloclysis – enteral fistula
Sources
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Surgery Orthopaedics Trauma surgeryArticle was published in
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