Bébarová L, Stašek M, Szkorupa M, Řezáč T, Skalický P, Horáková M, Dostálová K, Loveček M
Rozhl Chir. 2019 Summer;98(7):287-290.
Enteric fistula is a pathological communication between the small intestine and surrounding tissue. In case of communication with body surface it is called an enterocutaneous or enteroatmospheric fistula. There are many causes of enterocutaneous/enteroatmospheric fistula occurrence. A common result is malnutrition and organ dysfunction which leads to increased morbidity and mortality of the patients. Adequate nutritional support is a very important element in the management of patients with enterocutaneous/enteroatmospheric fistulas. One of the options of nutritional support is fistuloclysis which means administration of enteral nutrition formula to the distal fistula. We present the case of 76-year-old patient with a high-localized and high output enteroatmospheric fistula in whom we were able to reach adequate nutritional status using fistuloclysis, followed by closure of the fistula.
肠瘘是小肠与周围组织之间的病理性通道。若与体表相通,则称为肠皮肤瘘或肠外置瘘。肠皮肤瘘/肠外置瘘的发生原因众多。常见后果是营养不良和器官功能障碍,这会导致患者的发病率和死亡率增加。充足的营养支持是肠皮肤瘘/肠外置瘘患者管理中的一个非常重要的因素。营养支持的选择之一是瘘管滴注法,即向远端瘘管给予肠内营养配方。我们报告了一例76岁高位、高流量肠外置瘘患者的病例,我们通过瘘管滴注法使其达到了充足的营养状态,随后关闭了瘘管。