Metabolic and Nutritional Support of the Enterocutaneous Fistula Patient: A Three-Phase Approach |
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Authors: | Email author" target="_blank">Travis?M?PolkEmail author C?William?Schwab |
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Institution: | (1) Division of Traumatology, Surgical Critical Care, and Emergency Surgery, University of Pennsylvania, Philadelphia, PA, USA |
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Abstract: | Background The care and outcome of enterocutaneous fistula (ECF) have improved greatly over several decades due to revolutionary advances
in nutrition, along with dramatic improvements in the treatment of sepsis and the critically ill. However, as the collective
experience with damage control surgery has matured, the frequent development of enteroatmospheric fistula (EAF) in the “open
abdomen” patient has emerged as an even more vexing problem. Despite our best efforts, ECF and especially EAF continue to
be highly morbid conditions, and sepsis and malnutrition remain the leading causes of death. Aggressive nutritional and metabolic
support is the most significant predictor of outcome with ECF and EAF. |
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Keywords: | |
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