Nutritional Management in Enterocutaneous Fistula. What is the evidence?
Malaysian Journal of Medical Sciences
;
: 6-16, 2015.
Article
in English
| WPRIM
| ID: wpr-628728
ABSTRACT
The management of Enterocutaneous fistula (ECF) is challenging. It remains associated with morbidity and mortality, despite advancements in medical and surgical therapies. Early nutritional support using parenteral, enteral or fystuloclysis routs is essential to reverse catabolism and replace nutrients, fluid and electrolyte losses. This study aims to review the current literature on the management of ECF. Fistulae classifications have an impact on the calories and protein requirements. Early nutritional support with parenteral, enteral nutrition or fistuloclysis played a significant role in the management outcome. Published literature on the nutritional management of ECF is mostly retrospective and lacks experimental design. Prospective studies do not investigate nutritional assessment or management experimentally. Individualising the nutritional management protocol was recommended due to the absence of management guidelines for ECF patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Type of study:
Practice guideline
/
Observational study
Language:
English
Journal:
Malaysian Journal of Medical Sciences
Year:
2015
Type:
Article
Similar
MEDLINE
...
LILACS
LIS