Clinical study of nutritional support in patients with acute peritonitis caused by colonic perforation / 肠外与肠内营养

Objective:To investigate the effect of different postoperative nutritional support on the gastrointestinal function and nutritional status in acute colon peforation patients.Methods:60 cases of acute emergency operation patients with perforation of the colon,according to the given nutritional support treatment of the different ways,were divided into enteral parenteral joint nutrition (EN + PN) group and total parenteral nutrition (TPN) group.Clinical therapeutic effects of two groups were compared.Results:The results of EN + PN group were significantly better than the those in TPN group (P ＜ 0.05).Conclusion:EN + PN model can improve the postoperative nutritional status and accelerate the recovery of patients with acute colonic perforation.

Gastroentropatía por AINES en Pediatría: Perforación colonia reporte de un caso y revisión de la literatura

Se reporta el caso de un preescolar masculino de 3 años de edad con cuadro gastroentérico febril que fue tratado con acetaminofén y dos antiinflamatorios no esteroideos (AINES) sin presentar mejoría; posteriormente presenta perforación a nivel de colon en ángulo hepático. Este es el segundo reporte de caso en la literatura pediátrica de perforación colonia, secundaria a ingesta de AINES por un periodo corto. Se presenta el caso por la escasa literatura de Gastroenteropatía por AINES en niños y para alertar sobre los efectos y graves complicaciones del uso indiscriminado de AINES. Se revisan aspectos como la fisiopatogenia, las manifestaciones clínicas, el diagnóstico, el tratamiento y la gastroprotección en esta patología.

We report a case of a male preschool 3 years of age with febrile gastroenterophaty that was treated with acetaminophen and two non steroidal anti-inflammatory drugs without improvement and subsequently presented with perforation of the colon at he hepatic angle. This is the second report case in the literature of pediatric colonic perforation secondary to the ingestion of NAISDs for a short period. We report this case because of the lack of information in the literature of NAISDs induce gastroenterophaty in children and to warn of serious complications and effects of the indiscriminate use of NAISDs. We review aspects such as physiopathology, clinical manifestations, diagnosis, treatment and gastro protection in this condition.