Fistuloclysis as a method of nutritional management in a patient with high output enteroatmospheric fistula – a case report

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Authors: L. Bébarová ¹; M. Stašek ¹; M. Szkorupa ¹; T. Řezáč ¹; P. Skalický ¹ ; M. Horáková ²; K. Dostálová ³; M. Loveček ¹
Authors place of work: I. Chirurgická klinika Lékařské fakulty Univerzity Palackého a Fakultní nemocnice Olomouc ¹; Oddělení intenzivní péče chirurgických oborů lékařské fakulty Univerzity Palackého a Fakultní nemocnice Olomouc ²; Klinika anesteziologie, resuscitace a intenzivní medicíny lékařské fakulty Univerzity Palackého a Fakultní nemocnice Olomouc ³
Published in the journal: Rozhl. Chir., 2019, roč. 98, č. 7, s. 287-290.
Category: Kazuistika

Summary

Enteric fistula is a pathological communication between the small intestine and surrounding tissue. In case of communication with body surface it is called an enterocutaneous or enteroatmospheric fistula. There are many causes of enterocutaneous/enteroatmospheric fistula occurrence. A common result is malnutrition and organ dysfunction which leads to increased morbidity and mortality of the patients. Adequate nutritional support is a very important element in the management of patients with enterocutaneous/enteroatmospheric fistulas. One of the options of nutritional support is fistuloclysis which means administration of enteral nutrition formula to the distal fistula. We present the case of 76-year-old patient with a high-localized and high output enteroatmospheric fistula in whom we were able to reach adequate nutritional status using fistuloclysis, followed by closure of the fistula.

Keywords:

fistuloclysis – enteral fistula

Zdroje

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