Nutritional support in high-output fistulas of the alimentary tract.
A total of 63 patients with high-output alimentary tract fistules was treated during a 3-year period, using three different regimens of nutritional support. The fistula closed spontaneously in 46 patients (73%), and 7 patients (11%) were cured by direct surgical closure. Nine patients died, a mortality rate of 14.3%. The combination of nutritional support, skin protection, and timed surgical intervention can reduce the mortality rate to below 10%.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004937:Esophageal Fistula / Q000628:therapy*; D005260:Female; D005747:Gastric Fistula / Q000628:therapy*; D006801:Humans; D007412:Intestinal Fistula / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010288:Parenteral Nutrition; D010289:Parenteral Nutrition, Total; D011379:Prognosis