Treatment of upper gastrointestinal fistula and leakage with personal stage nutrition support.
OBJECTIVE
To investigate the feasibility of treatment for upper gastrointestinal fistula and leakage with personal stage nutrition support.


METHODS
Forty-three patients with upper gastrointestinal fistula and leakage were randomly divided into two groups. Patients in group A were treated with personal stage nutrition support and patients in group B were treated with total parental nutrition (TPN) in combination with operation. Nutritional states of the candidates were evaluated by detecting albumin (Alb) and pre-Alb. The balance between nutrition and hepatic function was evaluated by measurement of aspartate aminotransferase (AST), alanine aminotransferase (ALT) and total bilirubin (Tbill) before and after operation. At the same time their complications and hospitalized time were surveyed.


RESULTS
Personal stage nutrition support improved upper gastrointestinal fistula and leakage. The nutrition state and hepatic function were better in patients who received personal stage nutrition support than in those who did not receive TPN. There was no significant difference in the complication and hospitalized time in the two groups of patients.


CONCLUSIONS
Upper gastrointestinal fistula and leakage can be treated with personal stage nutrition support which is more beneficial for the post-operation recovery and more economic than surgical operation.
Wang
Qun
Q
Department of General Surgery, Zhongnan Hospital, Wuhan University, No. 169 Donghu Road, Wuhan, Hubei Province, China.
Liu
Zhi-Su
ZS
Qian
Qun
Q
Sun
Quan
Q
Pan
Ding-Yu
DY
He
Yue-Ming
YM