Nutrition in open abdomen
Authors:
L. Urbánek; L. Veverková; J. Žák; M. Reška
Authors‘ workplace:
I. chirurgická klinika Lékařské fakulty Masarykovy univerzity a Fakultní nemocnice u svaté Anny v Brně
Published in:
Rozhl. Chir., 2021, roč. 100, č. 2, s. 83-87.
Category:
Case Report
Overview
Open abdomen is known as a serious consequence of various intra-abdominal pathologies. Initially, patients often have a life-threatening condition, sepsis or septic shock. Severe stress related malnutrition, mineral and fluid imbalance develop as metabolic consequences. Intestinal fistulas also occur as a frequent complication in patients with open abdomen. In such patients, a comprehensive approach is needed, including rehabilitation, nutritional support using optimal formulas, and local care for the open abdomen. Our case report presents a patient with open abdomen and enterocutaneous fistulation. A complex nutritional approach in the course of the disease is described and its importance is discussed. Finally, a summary of nutritional care for open abdomen patients is provided based on current recommendations.
Keywords:
open abdomen – nutrition-energy need – protein need
Sources
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Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2021 Issue 2
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