Summary
From 1973–1976 sixteen patients with clinically manifest postoperative fistulas (7 small intestinal and 9 colonic) were studied. These patients received an elemental diet (ED) as their only nutritional support for 9–44 days. On ED spontaneous closure was observed in 4 out of 7 small intestinal fistulas and in 7 out of 9 colonic fistulas. Hemoglobin and serum albumin increased significantly on ED and nitrogen balance performed on 7 patients was in equilibrium or positive. Advantages of ED over intravenous nutrition in the treatment of intestinal fistulas are discussed.
Zusammenfassung
Während der Jahre 1973–1976 wurden 16 Patienten mit klinisch manifesten postoperativen Darmfisteln (7 Dünndarm- und 9 Colonfisteln) untersucht. Diese Patienten erhielten während 9–44 Tagen eine schlackenfreie synthetische Diät (SD) als ausschließliche Nahrungszufuhr. In 4 von 7 Fällen mit Dünndarmfisteln und in 7 von 9 Fällen mit Dickdarmfisteln wurde unter SD ein spontaner Fistelverschluß beobachtet. Hämoglobin und Serumalbumin stiegen unter SD signifikant an und die bei 7 Patienten durchgeführte Stickstoffbilanz fiel ausgeglichen oder positiv aus. Die Vorteile der synthetischen Diät gegenüber der intravenösen Ernährung bei der Behandlung intestinaler Fisteln werden diskutiert.
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Göschke, H., Leutenegger, A., Mannhardt, H. et al. Behandlung von postoperativen Darmfisteln mit schlackenfreier synthetischer Diät. Langenbecks Arch Chiv 344, 255–263 (1978). https://doi.org/10.1007/BF01261263
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DOI: https://doi.org/10.1007/BF01261263