Metabolic consequences of patients with gastrointestinal fistulas

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
S J Dudrick, L Panait

Abstract

The historical highlights of the management of fistulas of the gastrointestinal tract during the past century are presented briefly, together with the significant lessons learned from the studies published in the literature. The evolution from predominantly operative or technical approaches to comprehensive multidisciplinary management of metabolic and nutritional support, which are essential to optimal fistula closure, and morbidity and mortality outcomes are discussed. The importance of achieving hemodynamic stability, fluid and electrolyte homeostasis, fistula effluent control, protection of the skin, control of infection and sepsis, and cardiopulmonary and major organ support, preferably by specially trained and motivated teams in critical care units of institutions with the interest, resources, and skills in managing the metabolic consequences of gastrointestinal fistula patients, is emphasized. The current status of the nutritional and metabolic support of patients with gastrointestinal tract fistulas is outlined and discussed briefly. The optimal metabolic and nutritional management of patients with gastrointestinal tract fistulas is an extraordinary and daunting challenge which has yet to be perfected, demonstrated, and...Continue Reading

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Citations

May 31, 2016·Cirugía española·Luis Sánchez-GuillénAna Cantón-Blanco
Dec 3, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·José Luis Martínez-OrdazEduardo Ferat-Osorio
Dec 4, 2016·JPEN. Journal of Parenteral and Enteral Nutrition·Vanessa J KumpfUNKNOWN American Society for Parenteral and Enteral Nutrition
Jun 24, 2020·Khirurgiia·S V BerelavichusE A Akhtanin
Dec 1, 2017·JPEN. Journal of Parenteral and Enteral Nutrition·Charlene CompherEzra Steiger
Aug 9, 2020·Nutrición hospitalaria·José Ignacio Díaz-Pizarro GrafCharlene W Compher
Dec 29, 2020·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Caroline CouperEzra Steiger

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