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2026, Number 2

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Cir Gen 2026; 48 (2)

Reflections 50 years after my first experience with intravenous hyperalimentation

Arenas MH
Full text How to cite this article 10.35366/123466

DOI

DOI: 10.35366/123466
URL: https://dx.doi.org/10.35366/123466

Language: Spanish
References: 8
Page: 106-111
PDF size: 1720.74 Kb.


Key words:

hyperalimentation, innovation, interdisciplinary teamwork, humility.

ABSTRACT

We present the first case we managed involving an enterocutaneous fistula and intravenous hyperalimentation in 1975. The patient ultimately developed two enteroatmospheric fistulas requiring surgical management. He was successfully rescued from this adverse event without postoperative morbidity. This case demonstrated the innovative importance of intravenous nutrition in surgical outcomes, as well as the motivation and inspiration of a mentor, the need for humility in seeking expert help, and the importance of interdisciplinary team collaboration.


REFERENCES

  1. Arenas-Márquez H, Correia MITD, García-MoralesJF, Anaya-Prado R, Vergara-Gómez A, Garnica-Jiménez JL. El Día de la Fístula. Sobre las prácticasnutricionales en el tratamiento y resolución de lasfístulas gastrointestinales. RCAN Rev Cubana AlimentNutr. 2022; 32: S1-S94.

  2. Coccolini F, Ceresoli M, Kluger Y, Kirkpatrick A,Montori G, Salvetti F, et al. Open abdomen andentero-atmospheric fistulae: an interim analysisfrom the International Register of Open Abdomen(IROA). Injury. 2019; 50: 160e6. doi: 10.1016/j.injury.2018.09.040.

  3. Reynolds CW, Shen MR, Englesbe MJ, KwakyeG. Humility: a revised definition and techniquesfor integration into surgical education. J Am CollSurg . 2023; 236: 1261-1264. doi: 10.1097/XCS.0000000000000640.

  4. Thirunavukkarasu P. Do more requirements make abetter surgeon? External vs internal motivators: against increasing requirements. Bull Am Coll Surg. 2011; 96:

  5. 50-51.5. Koti S, Xie J, Maya Ch, Vihas P. Surgical mentorship fornext generation is changing. Bull Am Coll Surg. 2024.

  6. Márquez HA, Turcios-Correia MI, García JF, PradoRA, Vergara A, Garnica JL, et al. Outcomes ofgastrointestinal fistulas: Results from a multi-continent,multi-national, multi-center cohort. medRxiv. 2021.Disponible en: https://www.medrxiv.org/content/10.1101/2021.09.23.21262745v1

  7. Arenas H. Qué significado tiene para mí la COVID.Distribuna viva. 2021; 1: 3-4.

  8. Bisgaard EK, Moore MK, Stadeli KM, Champan CY,Sanapoori SH, Lobova VA, et al. Defining the cultureof surgery. J Am Coll Surg. 2023; 237: 280-290.doi:10.1097/XCS.0000000000000706.




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C?MO CITAR (Vancouver)

Cir Gen. 2026;48