Basilio OA, Monge MJ, Aramayo J, González L

Language: Spanish
References: 6
Page: 38-41
PDF size: 94.67 Kb.

ABSTRACT

Review of the frequency of intestinal fistulae due to shotgun injury, as well as their consequences to the patient. Gunshot wounds in civilians are more often as time passes and their treatment has evolved giving nutrition a more important role. From march 96 to march 97 we performed 117 laparotomies. In 13 patients fistulae appeared in a different severity and the management strategy was basically using total parenteral nutrition. Of the reviewed cases none went through early surgery, fistulae were present in distal bowel loops with debt ranging from 140 to 700 mL in 24 hours considering then as low and high debt respectively. Total parenteral nutrition was adapted according to the fistula debt and no mortality was reported. Average hospital stay ranged between 20 and 28 days. It is of higher importance to distinguish between “dehiscence” and fistula because of the different management strategy each one implies.

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