351. Traumatic pancreatic cutaneous fistula: comparison of enteral and parenteral feedings.
- Author
-
Kellum JM, Holland GF, and McNeill P
- Subjects
- Adult, Humans, Male, Nutritional Physiological Phenomena, Pancreatic Fistula etiology, Pancreatic Fistula surgery, Reoperation, Wounds, Gunshot complications, Enteral Nutrition, Pancreatic Fistula therapy, Parenteral Nutrition
- Abstract
A patient with a gunshot injury to the duct of Wirsung in the pancreatic head developed a high-output pancreatic cutaneous fistula. Before operative repair, a 2-month period of nutritional support permitted a comparison of different feeding regimes. Elemental jejunal feedings containing 1-amino acids in a low-fat, hyperosmolar formula were associated with no greater fistula volume output than total parenteral nutrition. In addition to this efficacy in controlling pancreatic exocrine activity, elemental jejunal feedings were less than a third as expensive as parenteral nutrition.
- Published
- 1988
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