THE ROLE OF FISTULOCLYSIS IN THE TREATMENT OF PATIENTS WITH ENTEROATMOSPHERIC FISTULAS
ABSTRACT Background: Enterocutaneous fistulas represent a connection between the gastrointestinal tract and adjacent tissues. Among them, there is a subdivision - the enteroatmospheric fistulas, in which the origin is the gastrointestinal tract in connection with the external environment through...
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| Format: | Article |
| Language: | English |
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Colégio Brasileiro de Cirurgia Digestiva
2021-10-01
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| Series: | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202021000200501&tlng=en |
| _version_ | 1818744677227036672 |
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| author | Marcelo Augusto Fontenelle RIBEIRO-JUNIOR Daniel Dante YEH Samara de Souza AUGUSTO Yasmin Garcia Batista ELIAS Paola Rezende NÉDER Cássia Tiemi Kawase COSTA Andressa Daniel MAURÍCIO Salomone Di SAVERIO |
| author_facet | Marcelo Augusto Fontenelle RIBEIRO-JUNIOR Daniel Dante YEH Samara de Souza AUGUSTO Yasmin Garcia Batista ELIAS Paola Rezende NÉDER Cássia Tiemi Kawase COSTA Andressa Daniel MAURÍCIO Salomone Di SAVERIO |
| author_sort | Marcelo Augusto Fontenelle RIBEIRO-JUNIOR |
| collection | DOAJ |
| description | ABSTRACT Background: Enterocutaneous fistulas represent a connection between the gastrointestinal tract and adjacent tissues. Among them, there is a subdivision - the enteroatmospheric fistulas, in which the origin is the gastrointestinal tract in connection with the external environment through an open wound in the abdomen. Due to the high output in enterocutaneous fistulas, the loss of fluids, electrolytes, minerals and proteins leads to complications such as sepsis, malnutrition and electrolyte derangements. The parenteral nutrition has its secondary risks, and the fistuloclysis, that consist in the infusion of enteral feeding and also the chyme through the distal fistula, represents an alternative to the management of these patients until the definitive surgical approach. Aim: To evaluate the current evidence on the fistuloclysis technique, its applicability, advantages and disadvantages for patients with high output fistulas. Method: A systematic literature search was conducted in May 2020 with the headings “fistuloclysis”, “chyme reinfusion” and “succus entericus reinfusion”, in the PubMed, Medline and SciELO databases. Results: There were 29 articles selected for the development of this narrative synthesis, from 2003 to 2020, including reviews and case reports. Conclusion: Fistuloclysis is a safe method which optimizes the clinical, nutritional, and immunological conditions of patients with enteroatmospheric fistulas, increasing the chances of success of the reconstructive procedure. In cases where the definitive repair is not possible, chances of reducing or even stopping the use of nutrition through the parental route are increased, thus representing a promising modality for the management of most challenging cases. |
| first_indexed | 2024-12-18T02:48:06Z |
| format | Article |
| id | doaj.art-01265b3888ba4db88846e19843cbebdc |
| institution | Directory Open Access Journal |
| issn | 0102-6720 |
| language | English |
| last_indexed | 2024-12-18T02:48:06Z |
| publishDate | 2021-10-01 |
| publisher | Colégio Brasileiro de Cirurgia Digestiva |
| record_format | Article |
| series | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| spelling | doaj.art-01265b3888ba4db88846e19843cbebdc2022-12-21T21:23:31ZengColégio Brasileiro de Cirurgia DigestivaABCD: Arquivos Brasileiros de Cirurgia Digestiva0102-67202021-10-0134210.1590/0102-672020210002e1605THE ROLE OF FISTULOCLYSIS IN THE TREATMENT OF PATIENTS WITH ENTEROATMOSPHERIC FISTULASMarcelo Augusto Fontenelle RIBEIRO-JUNIORhttps://orcid.org/0000-0001-9826-4722Daniel Dante YEHhttps://orcid.org/0000-0003-4994-0100Samara de Souza AUGUSTOhttps://orcid.org/0000-0003-2772-9582Yasmin Garcia Batista ELIAShttps://orcid.org/0000-0002-2733-4882Paola Rezende NÉDERhttps://orcid.org/0000-0001-5198-9128Cássia Tiemi Kawase COSTAhttps://orcid.org/0000-0003-4487-356XAndressa Daniel MAURÍCIOhttps://orcid.org/0000-0002-3087-3828Salomone Di SAVERIOhttps://orcid.org/0000-0001-5685-5022ABSTRACT Background: Enterocutaneous fistulas represent a connection between the gastrointestinal tract and adjacent tissues. Among them, there is a subdivision - the enteroatmospheric fistulas, in which the origin is the gastrointestinal tract in connection with the external environment through an open wound in the abdomen. Due to the high output in enterocutaneous fistulas, the loss of fluids, electrolytes, minerals and proteins leads to complications such as sepsis, malnutrition and electrolyte derangements. The parenteral nutrition has its secondary risks, and the fistuloclysis, that consist in the infusion of enteral feeding and also the chyme through the distal fistula, represents an alternative to the management of these patients until the definitive surgical approach. Aim: To evaluate the current evidence on the fistuloclysis technique, its applicability, advantages and disadvantages for patients with high output fistulas. Method: A systematic literature search was conducted in May 2020 with the headings “fistuloclysis”, “chyme reinfusion” and “succus entericus reinfusion”, in the PubMed, Medline and SciELO databases. Results: There were 29 articles selected for the development of this narrative synthesis, from 2003 to 2020, including reviews and case reports. Conclusion: Fistuloclysis is a safe method which optimizes the clinical, nutritional, and immunological conditions of patients with enteroatmospheric fistulas, increasing the chances of success of the reconstructive procedure. In cases where the definitive repair is not possible, chances of reducing or even stopping the use of nutrition through the parental route are increased, thus representing a promising modality for the management of most challenging cases.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202021000200501&tlng=enIntestinal fistulaMalnutritionNutritional supportEnteral nutritionParenteral nutrition |
| spellingShingle | Marcelo Augusto Fontenelle RIBEIRO-JUNIOR Daniel Dante YEH Samara de Souza AUGUSTO Yasmin Garcia Batista ELIAS Paola Rezende NÉDER Cássia Tiemi Kawase COSTA Andressa Daniel MAURÍCIO Salomone Di SAVERIO THE ROLE OF FISTULOCLYSIS IN THE TREATMENT OF PATIENTS WITH ENTEROATMOSPHERIC FISTULAS ABCD: Arquivos Brasileiros de Cirurgia Digestiva Intestinal fistula Malnutrition Nutritional support Enteral nutrition Parenteral nutrition |
| title | THE ROLE OF FISTULOCLYSIS IN THE TREATMENT OF PATIENTS WITH ENTEROATMOSPHERIC FISTULAS |
| title_full | THE ROLE OF FISTULOCLYSIS IN THE TREATMENT OF PATIENTS WITH ENTEROATMOSPHERIC FISTULAS |
| title_fullStr | THE ROLE OF FISTULOCLYSIS IN THE TREATMENT OF PATIENTS WITH ENTEROATMOSPHERIC FISTULAS |
| title_full_unstemmed | THE ROLE OF FISTULOCLYSIS IN THE TREATMENT OF PATIENTS WITH ENTEROATMOSPHERIC FISTULAS |
| title_short | THE ROLE OF FISTULOCLYSIS IN THE TREATMENT OF PATIENTS WITH ENTEROATMOSPHERIC FISTULAS |
| title_sort | role of fistuloclysis in the treatment of patients with enteroatmospheric fistulas |
| topic | Intestinal fistula Malnutrition Nutritional support Enteral nutrition Parenteral nutrition |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202021000200501&tlng=en |
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