Management of external gastrointestinal fistulas with glucose and lipids.

Publication/Presentation Date

6-1-1980

Abstract

Thirty-one patients with 35 external gastrointestinal fistulas were initially managed conservatively with total parenteral nutrition. Patients received the centrally infused glucose system or the peripherally infused lipid system, or both systems, in sequence. Eighteen of the fistulas closed spontaneously, and nine patients died. Eleven of the 15 fistulas managed exclusively with the lipid system closed spontaneously. The results of this retrospective study attest, in general, to the value of total parenteral nutrition and, in particular, to the value of the lipid system which appears equally effective, at least in a subset of patients with fistulas.

Volume

150

Issue

6

First Page

856

Last Page

858

ISSN

0039-6087

Disciplines

Medicine and Health Sciences

PubMedID

6769169

Department(s)

Department of Surgery

Document Type

Article

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