title: [Original technic for conservative treatment of "lateral" duodenal fistulas].
abstract: An original technique is presented, resulting in the spectacular recovery in only 3-7 days of "lateral" duodenal fistulae by their transformation from the "alkaline" to the "acidic" type. The author achieved this by administration, either by mouth or by intra-duodenal route, with the aid of the Eihorn tube, in continuous perfusion, of a lactic acid solution concentrated at 6 g%--not exceeding 3.000 ml over a 24 hours period, partially eliminated through the fistulous traject which is cured in the process. The condition to obtain the recovery is to provide continuous lactic acid perfusion. The patient should not receive any food by mouth but the feeding will be provided by direct jejunal infusion and parenterally, until the complete closure of the fistula. The author describes in detail several conditions which are considered as of prime importance for the resolution of any type of duodenal fistula and also suggests some new formula for jejunal alimentation and for the protection of the teguments around the fistula.
mesh_terms: D004378:Duodenal Diseases / Q000178:diet therapy*; D004750:Enteral Nutrition; D006801:Humans; D007412:Intestinal Fistula / Q000178:diet therapy*; D007773:Lactates / Q000008:administration & dosage / Q000627:therapeutic use*
chemical_list: D007773:Lactates
vernacular_title: Tehnică originală privind tratamentul conservator al fistulelor duodenale "laterale"