Enteral Fistula as a Postoperative Complication – A Case Report
Authors:
Z. Pelák; P. Skála
Authors place of work:
Chirurgická klinika FNKV a 3. LF UK Praha, přednosta: prof. MUDr. Robert Gürlich, CSc.
Published in the journal:
Rozhl. Chir., 2009, roč. 88, č. 6, s. 334-336.
Category:
Monothematic special - Original
Summary
Enteral fistula is a serious postoperative complication. A therapeutical approach must be individual with regard to the character of the fistula and especially with regard to the entire state of the patient. With our patient the fistula occurred as a further complication after the reconstruction operation after the preceding Hartmann resection for the perforated diverticulitis. The serious catabolic state did not make possible an immediate operational revision. It was necessary to improve first the nutritional parametres by TPN and bring about anabolism. Only then the surgical intervention with the abolishment of the fistula was possible.
Key words:
enteral fistula – parenteral nutrition – complications
Zdroje
1. Havel, E., Zadák, Z. Výživa kriticky nemocných. Sanquis, 2001, č. 9, s. 35–37.
2. Heyland, D. K., Daren, K., MacDonald, S., Keefe, L., Drover, J. W. Úplná parenterální výživa u kriticky nemocného pacienta. J. Amer. med. Ass. (čes. a slov. vyd.), 1999, č. 4, s. 267–273.
3. Vyhnánek, F., Ducháč, V. Specializovaná nutriční podpora v intenzívní péči u chirurgicky nemocného. Ročenka intenzivní medicíny 2005, s. 108–112.
4. Anděl, M. Vliv výživy a intenzívní metabolické péče na orgánové funkce a pooperační stavy. Nucleus HK, 2003, 104 s., ISBN80-86225-35-6
5. Havlíček, K. Výživa v intenzívní péči. Rozhl. Chir., 2002, č. 11, s. 598.
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
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