Universitas Indonesia-Cipto Mangunkusumo National Hospital, Department of Nutrition, Jakarta, Indonesia.
Med J Malaysia. 2023 Jul;78(4):541-546.
Malnutrition is one of the most frequent effects of an enterocutaneous fistula (ECF). There are some factors that contribute to it including inadequate intake, fluid loss via fistula and underlying disease. The role of nutrition is very important as a part of ECF therapy to give adequate nutrition, maintain fluid and electrolyte state and increase the likelihood of fistula closure spontaneously. Therefore, it is anticipated that adequate nutrition management will lower morbidity and mortality while enhancing clinical results. Nutritional requirements and nutritional route, whether oral, enteral and parenteral nutrition in ECF management, are influenced by the anatomical, physiological and aetiology of the fistula. The purpose of this review was to highlight the evidence based on nutritional therapy in ECF patients by calling attention to nutritional route selection based on the anatomy and physiology fistula to prevent malnutrition.
营养不良是肠外瘘（ECF）最常见的并发症之一。有一些因素会导致这种情况，包括摄入不足、瘘管漏液和基础疾病。营养在 ECF 治疗中起着非常重要的作用，它可以提供充足的营养，维持液体和电解质状态，并增加瘘管自然闭合的可能性。因此，预计适当的营养管理将降低发病率和死亡率，同时提高临床效果。在 ECF 管理中，营养需求和营养途径（无论是口服、肠内还是肠外营养）都受到瘘管的解剖、生理和病因的影响。本综述的目的是通过关注根据瘘管解剖和生理选择营养途径来预防营养不良，强调基于循证的 ECF 患者营养治疗的证据。
