The community management of chylous fistula using a pancreatic lipase inhibitor (orlistat)
| Autor: | John de Carpentier, Antonio Belloso, Kasirajan Saravanan |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
District nurse
medicine.medical_specialty Chyle Fistula Iatrogenic Disease Thoracic Duct Lactones medicine Pancreatic lipase Humans Enzyme Inhibitors Diet Fat-Restricted Lymphatic Diseases Orlistat Wound Healing biology business.industry Chylous fistula Lipase Length of Stay medicine.disease Home Care Services Surgery Self Care medicine.anatomical_structure Otorhinolaryngology biology.protein Drainage Pancreas Complication business Attitude to Health medicine.drug |
| Zdroj: | The Laryngoscope. 116(10) |
| ISSN: | 0023-852X |
| Popis: | We describe two innovative ideas in the treatment of iatrogenic chyle leak. The first is the early use of a pancreatic lipase inhibitor (Orlistat) to reduce fat absorption and chyle production, with consequent faster fistula healing. The second is the treatment of these patients at home in the community by district nurses backed by the hospital staff. This domiciliary approach has a positive psychological effect on the patient, permits the patient to take responsibility for their treatment, and reduces hospital length of stay minimising patient exposure to nosocomial infections. |
| Databáze: | OpenAIRE |
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