Aortoenteric fistulas: Is there a place for parenteral nutrition?

被引:2
作者
Kotsikoris, Ioannis [1 ]
Zygomalas, Apollon [2 ]
Maras, Dimitrios [1 ]
Papas, Theofanis [1 ]
Andrikopoulou, Maria [1 ]
Alivizatos, Vasileios [3 ,4 ]
Bessias, Nikolaos [1 ]
机构
[1] Erythros Stauros Gen Hosp, Dept Vasc Surg, Athens, Greece
[2] Univ Hosp Patras, Dept Gen Surg, Patras, Greece
[3] Agios Andreas Gen Hosp Patras, Dept Gen Surg, Patras, Greece
[4] Agios Andreas Gen Hosp Patras, Artificial Nutr Unit, Patras, Greece
关键词
aortoenteric fistula; artificial nutrition; parenteral nutrition; SUBJECTIVE GLOBAL ASSESSMENT; MALNUTRITION; PREALBUMIN; MANAGEMENT; RECOGNITION; POPULATION; HOSPITALS; ADMISSION; OUTCOMES; SUPPORT;
D O I
10.1111/j.1747-0080.2012.01634.x
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Aim: Aortoenteric fistulas are a rare but often fatal cause of gastrointestinal bleeding. Operative repair has been historically associated with extremely high morbidity and mortality. From the literature and our own experience, the mean overall length of stay for patients who are successfully discharged from the hospital appears to be more than 15days, and oral feeding is frequently delayed. Possibilities of nutritional intervention in vascular surgery patients are important. The aim of this study was to evaluate the use of parenteral nutrition in patients treated for aortoenteric fistulas. Methods: The records of all patients admitted to the Department of Vascular Surgery with AEFs during the last three years (20072009) were reviewed and analysed. Results: During the last three years, five patients were admitted to the Department of Vascular Surgery with AEFs. Their mean age was 55.8years (range 4967). Four patients were male and one was female. The mean body mass index was 28.6kg/m2 (range 25 to 33.2). The Malnutrition Universal Screening Tool score showed a high risk for malnutrition for all the patients. The mean hospital stay was 25.2days. All five patients were supported with total PN (four central and one peripheral). There were no complications due to PN. Conclusion: Provision of PN support in patients with AEFs may be used without complications.
引用
收藏
页码:16 / 20
页数:5
相关论文
共 34 条
[1]  
[Anonymous], 2006, NUTR SUPP AD OR NUTR
[2]   Improved outcomes in the recent management of secondary aortoenteric fistula [J].
Armstrong, PA ;
Back, MR ;
Wilson, JS ;
Shames, ML ;
Johnson, BL ;
Bandyk, DF .
JOURNAL OF VASCULAR SURGERY, 2005, 42 (04) :660-666
[3]   Indications and limitations of the use of subjective global assessment in clinical practice: an update [J].
Barbosa-Silva, M. Cristina G. ;
Barros, Alufsio J. D. .
CURRENT OPINION IN CLINICAL NUTRITION AND METABOLIC CARE, 2006, 9 (03) :263-269
[4]   Evolving strategies for the treatment of aortoenteric fistulas [J].
Baril, Donald T. ;
Carroccio, Alfio ;
Ellozy, Sharif H. ;
Palchik, Eugene ;
Sachdev, Ulka ;
Jacobs, Tikva S. ;
Marin, Michael L. .
JOURNAL OF VASCULAR SURGERY, 2006, 44 (02) :250-257
[5]  
Beck FK, 2002, AM FAM PHYSICIAN, V65, P1575
[6]   ESPEN Guidelines on Parenteral Nutrition: Surgery [J].
Braga, M. ;
Ljungqvist, O. ;
Soeters, P. ;
Fearon, K. ;
Weimann, A. ;
Bozzetti, F. .
CLINICAL NUTRITION, 2009, 28 (04) :378-386
[7]   AORTOENTERIC FISTULA - INCIDENCE, PRESENTATION RECOGNITION, AND MANAGEMENT [J].
CHAMPION, MC ;
SULLIVAN, SN ;
COLES, JC ;
GOLDBACH, M ;
WATSON, WC .
ANNALS OF SURGERY, 1982, 195 (03) :314-317
[8]   ASSESSING THE EFFICACY OF INTRAVENOUS NUTRITION IN GENERAL SURGICAL PATIENTS - DYNAMIC NUTRITIONAL ASSESSMENT WITH PLASMA-PROTEINS [J].
CHURCH, JM ;
HILL, GL .
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 1987, 11 (02) :135-139
[9]   Nutritional status of adult patients admitted to internal medicine departments in public hospitals in Castilla y Leon, Spain - A multi-center study [J].
de Luis, Daniel ;
Guzman, Antonio Lopez .
EUROPEAN JOURNAL OF INTERNAL MEDICINE, 2006, 17 (08) :556-560
[10]  
Detsky AS, 2008, NUTR HOSP, V23, P400