[Somatostatin and/or total parenteral nutrition for the treatment of intestinal fistulas].
61 patients with postoperative enterocutaneous fistulas of the small intestine, were admitted to the Intensive Care Unit from 1983 to 1989 and divided in two groups. Group A (n = 46) was treated with Total Parenteral Nutrition (TPN), while B (n = 15) received a combination of TPN and Somatostatin. The reduction of fistula output was significantly greater in group B. Spontaneous closure was observed in 30.4% of the cases in group A and in 53.3% in group B. A significant difference in the time taken to close the fistula between group A and B (29.7 +/- 18 versus 11.1 +/- 1.6 days) was observed.
Planas
M
M
Servicio de Medecina Intensiva, Hospital General Vall d'Hebron, Barcelona, España.
Porta
I
I
Anglés
R
R
Baena
J A
JA
Serra
J
J
Padró
J B
JB
D000328:Adult; D000368:Aged; D006801:Humans; D007412:Intestinal Fistula / Q000188:drug therapy / Q000628:therapy*; D008875:Middle Aged; D010289:Parenteral Nutrition, Total; D011183:Postoperative Complications / Q000628:therapy; D013004:Somatostatin / Q000627:therapeutic use*
D013004:Somatostatin