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Nutrition in open abdomen


Authors: L. Urbánek;  L. Veverková;  J. Žák;  M. Reška
Authors‘ workplace: I. chirurgická klinika Lékařské fakulty Masarykovy univerzity a Fakultní nemocnice u svaté Anny v Brně
Published in: Rozhl. Chir., 2021, roč. 100, č. 2, s. 83-87.
Category: Case Report

Overview

Open abdomen is known as a serious consequence of various intra-abdominal pathologies. Initially, patients often have a life-threatening condition, sepsis or septic shock. Severe stress related malnutrition, mineral and fluid imbalance develop as metabolic consequences. Intestinal fistulas also occur as a frequent complication in patients with open abdomen. In such patients, a comprehensive approach is needed, including rehabilitation, nutritional support using optimal formulas, and local care for the open abdomen. Our case report presents a patient with open abdomen and enterocutaneous fistulation. A complex nutritional approach in the course of the disease is described and its importance is discussed. Finally, a summary of nutritional care for open abdomen patients is provided based on current recommendations.

Keywords:

open abdomen – nutrition-energy need – protein need


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