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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

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


ABSTRACT

We present the first case we managed involving an enterocutaneous fistula and intravenous hyperalimentation in 1975. The patient ultimately developed two entero-atmospheric 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-Morales JF, Anaya-Prado R, Vergara-Gómez A, Garnica-Jiménez JL. El Día de la Fístula. Sobre las prácticas nutricionales en el tratamiento y resolución de las fístulas gastrointestinales. RCAN Rev Cubana Aliment Nutr. 2022; 32: S1-S94.

  2. Coccolini F, Ceresoli M, Kluger Y, Kirkpatrick A, Montori G, Salvetti F, et al. Open abdomen and entero-atmospheric fistulae: an interim analysis from 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, Kwakye G. Humility: a revised definition and techniques for integration into surgical education. J Am Coll Surg. 2023; 236: 1261-1264. doi: 10.1097/XCS.0000000000000640.

  4. Thirunavukkarasu P. Do more requirements make a better surgeon? External vs internal motivators: against increasing requirements. Bull Am Coll Surg. 2011; 96: 50-51.

  5. Koti S, Xie J, Maya Ch, Vihas P. Surgical mentorship for next generation is changing. Bull Am Coll Surg. 2024.

  6. Márquez HA, Turcios-Correia MI, García JF, Prado RA, Vergara A, Garnica JL, et al. Outcomes of gastrointestinal 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 culture of surgery. J Am Coll Surg. 2023; 237: 280-290. doi:10.1097/XCS.0000000000000706.




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