[Nutritional support of duodenal stump leakage after gastrectomy for gastric carcinoma].
OBJECTIVE
To summarize the nutritional supporting experiences in duodenal stump leakage after gastrectomy for gastric carcinoma and to increase the therapeutic level of duodenal stump leakage.


METHODS
Data of 18 cases of duodenal stump leakage after gastrectomy for gastric carcinoma in our hospital from January 1997 to December 2006 were analyzed retrospectively.


RESULTS
All the cases were treated with abdominal cavity drainage, continuous gastrointestinal decompression and parenteral nutrition combined with enteral nutrition. Sixteen cases received glutamine enrichment, 12 cases somatostatin infusion, 8 cases recombinant human growth hormone. Five patients healed within 21-30 d, 12 patients within 30-72 d. One case died of abdominal cavity hemorrhage and upper gastrointestinal hemorrhage 62 days postoperatively.


CONCLUSIONS
Abdominal cavity drainage, continuous gastrointestinal decompression, parenteral nutrition combined with enteral nutrition, intensive support with glutamine, somatostatin and recombinant human growth hormone are the important factors for the healing of duodenal stump leakage.
Tang
Yun
Y
Department of General Surgery, General Hospital of PLA, Beijing 100853, China. tangyun1@sina.com
Li
Rong
R
Chen
Lin
L
Wu
Xin
X
D000328:Adult; D000368:Aged; D004378:Duodenal Diseases / Q000209:etiology / Q000628:therapy*; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D018529:Nutritional Support; D011183:Postoperative Complications / Q000628:therapy*; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000601:surgery / Q000628:therapy*