Case Study Gastro-Intestinal Fistula Nutritional Support

Gertrudis Adrianza de Baptista*

Received: May 31, 2018;   Published: June 18

DOI: 10.26717/BJSTR.2018.05.001241

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Abstract

“When a fistula is developed the tendency is first not to do anything and see how serious it will get; and therefore, at the time the catastrophe’s total impact strikes, the patient is already septic, nutritionally depleted and presenting an extensive cutaneous destruction” Chapman [1]. Nutritional management is one of the most important factors when successfully treating gastro-intestinal fistulas Ellis H [2]. In 21 years of experience at the Caracas University Hospital’s (HUC) Nutritional Support Unit (NSU) Belloso R, Baptista GA [3]. It has been possible to confirm that employing exclusively nutritional support, there are more possibilities of fistulas closure that if employing combinations of nutritional support and surgery; or to the contrary, only surgery - of those fistulas that are not of surgical closing -, this being also proven by other authors [3].

Keywords: Somatostatine Therapy; Sheldon’s Therapeutic Plan; Biliary Lithiasys; Laparotomy; Infrarenal vena; Sigmoid Injury; Vena Cava Repair; Ferrada procedure; Colecistectomy; Hartman’s Pouch; Bogotas Pouch; Benutrex; Ampoule

Abbreviations: TPN: Total Parenteral Nutrition; HBP: High Blood Pressure; DM: Diabetes Mellitus; CHD: Coronary Heart Disease; GGCs: Good General Conditions

Abstract| Introduction| Case Study| Admission Diagnosis: Colocutaneous Fistula| Nutritional Evolution| Observations| References|