Redefining "bowel regimen": Pharmacologic strategies and nutritional considerations in the management of small bowel fistulas.

Autor: Parli SE; University of Kentucky HealthCare, Department of Pharmacy Services, 800 Rose Street, Room H110, Lexington, KY 40536-0293, USA; University of Kentucky College of Pharmacy, Department of Pharmacy Practice and Science, 789 South Limestone Street, Lexington, KY 40536, USA. Electronic address: sara.parli@uky.edu., Pfeifer C; Nebraska Medicine, Department of Pharmaceutical and Nutrition Care, 987400 Nebraska Medical Center, Omaha, NE 68198-7400, USA. Electronic address: cpfeifer@nebraskamed.com., Oyler DR; University of Kentucky HealthCare, Department of Pharmacy Services, 800 Rose Street, Room H110, Lexington, KY 40536-0293, USA; University of Kentucky College of Pharmacy, Department of Pharmacy Practice and Science, 789 South Limestone Street, Lexington, KY 40536, USA. Electronic address: doug.oyler@uky.edu., Magnuson B; University of Kentucky HealthCare, Department of Pharmacy Services, 800 Rose Street, Room H110, Lexington, KY 40536-0293, USA; University of Kentucky College of Pharmacy, Department of Pharmacy Practice and Science, 789 South Limestone Street, Lexington, KY 40536, USA. Electronic address: barbara.magnuson@uky.edu., Procter LD; Virginia Commonwealth University, Department of General Surgery, 1200 East Broad Street, West Hospital, 15th Floor North Wing, Richmond, VA 23219, USA. Electronic address: levi.procter@vcuhealth.org.
Jazyk: angličtina
Zdroj: American journal of surgery [Am J Surg] 2018 Aug; Vol. 216 (2), pp. 351-358. Date of Electronic Publication: 2018 Feb 12.
DOI: 10.1016/j.amjsurg.2018.01.040
Abstrakt: Enterocutaneous fistulae (ECF) and enteroatmospheric fistulae (EAF) are difficult complications that primarily arise after abdominal surgical procedures. Development of an ECF or EAF carries significant mortality and morbidity. Effective management of patients with these disease states requires a multidisciplinary approach, which includes surgical, pharmacotherapeutic, and nutritional interventions. This review focuses on the medical and nutritional management of ECF/EAF, providing background on drug agents and nutritional strategies that may be helpful in reducing effluent volume, optimizing fistula healing, and maintaining nutritional health.
(Copyright © 2018. Published by Elsevier Inc.)
Databáze: MEDLINE
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