title: Traumatic pancreatic cutaneous fistula: comparison of enteral and parenteral feedings.
abstract: A patient with a gunshot injury to the duct of Wirsung in the pancreatic head developed a high-output pancreatic cutaneous fistula. Before operative repair, a 2-month period of nutritional support permitted a comparison of different feeding regimes. Elemental jejunal feedings containing 1-amino acids in a low-fat, hyperosmolar formula were associated with no greater fistula volume output than total parenteral nutrition. In addition to this efficacy in controlling pancreatic exocrine activity, elemental jejunal feedings were less than a third as expensive as parenteral nutrition.
mesh_terms: D000328:Adult; D004750:Enteral Nutrition; D006801:Humans; D008297:Male; D009747:Nutritional Physiological Phenomena; D010185:Pancreatic Fistula / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D010288:Parenteral Nutrition; D012086:Reoperation; D014948:Wounds, Gunshot / Q000150:complications