[Treatment of postoperative gastrointestinal fistulas by long-term parenteral feeding].
Twenty-nine anastomotic leakages of the gastrointestinal tract were treated by long-term parenteral nutrition; 20 closed spontaneously, the lethality was 18.3%. Especially, well-drained fistulas of the distal small bowel and the colon show a tendency to closure and should be treated by long-term parenteral hyperalimentation (2500-4000 KCal/24 h), if no signs of ileus or diffuse peritonitis are apparent. The technique and chance for success of hyperalimentation are discussed.
D005747:Gastric Fistula / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D007412:Intestinal Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D010288:Parenteral Nutrition / Q000379:methods*; D010289:Parenteral Nutrition, Total / Q000379:methods*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011859:Radiography; D013997:Time Factors
Die Behandlung postoperativer gastrointestinaler Fisteln durch parenterale Langzeiternährung.