[Nutritional therapy of duodenocutaneous fistula].
OBJECTIVE
To summarize the experience in nutritional support for the management of duodenocutaneous fistula.


METHODS
Data of 32 patients with duodenocutaneous fistula in Zhejiang provincial people's hospital from January 1999 to December 2009 were analyzed retrospectively.


RESULTS
The mean duration of nutritional support was 35.6 days (range, 8-82 days). Eight received total parenteral nutrition, 2 total enteral nutrition, and 22 parenteral nutrition combined with enteral nutrition respectively. Succus entericus reinfusion with enteral nutrition was used in 11 cases, glutamine-enriched nutritional support in 28 cases, somatostatin in 12 cases. In these patients, the healing rate was 75.0% after conservative treatment. In the 8 patients who underwent surgery, 6 were cured and 2 died (due to severe abdominal infection and multiple organ failure). A total of 30 patients had the fistulas cured and discharged.


CONCLUSIONS
Parenteral nutrition combined with enteral nutrition, succus entericus reinfusion combined with enteral nutrition, glutamine-enriched nutritional support and somatostatin are important factors for the healing of duodenocutaneous fistulas.
Sun
Yuan-shui
YS
Department of General Surgery, Zhejiang Provincial People's Hospital, Hangzhou 310014, China.
Shao
Qin-shu
QS
Xu
Xiao-dong
XD
Hu
Jun-feng
JF
Xu
Ji
J
Shi
Dun
D
Ye
Zai-yuan
ZY
D000328:Adult; D000368:Aged; D004378:Duodenal Diseases / Q000628:therapy*; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D018529:Nutritional Support; D012189:Retrospective Studies