Nutritional management in enterocutaneous fistula. What is the evidence?

Manal Badrasawi, Suzana Shahar, Ismail Sagap

Research output: Contribution to journalArticle

Abstract

The management of Enterocutaneous fistula (ECF) is challenging. It remains associated with morbidity and mortality, despite advancements in medical and surgical therapies. Early nutritional support using parenteral, enteral or fystuloclysis routs is essential to reverse catabolism and replace nutrients, fluid and electrolyte losses. This study aims to review the current literature on the management of ECF. Fistulae classifications have an impact on the calories and protein requirements. Early nutritional support with parenteral, enteral nutrition or fistuloclysis played a significant role in the management outcome. Published literature on the nutritional management of ECF is mostly retrospective and lacks experimental design. Prospective studies do not investigate nutritional assessment or management experimentally. Individualising the nutritional management protocol was recommended due to the absence of management guidelines for ECF patients.

Original languageEnglish
Pages (from-to)6-16
Number of pages11
JournalMalaysian Journal of Medical Sciences
Volume22
Issue number4
Publication statusPublished - 1 Jul 2015

Fingerprint

Intestinal Fistula
Nutritional Support
Nutrition Assessment
Parenteral Nutrition
Enteral Nutrition
Electrolytes
Small Intestine
Fistula
Research Design
Prospective Studies
Guidelines
Morbidity
Food
Mortality
Proteins

Keywords

  • Enteral feeding
  • Enterocutaneous fistula
  • Nutritional support
  • Parenteral feeding

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Nutritional management in enterocutaneous fistula. What is the evidence? / Badrasawi, Manal; Shahar, Suzana; Sagap, Ismail.

In: Malaysian Journal of Medical Sciences, Vol. 22, No. 4, 01.07.2015, p. 6-16.

Research output: Contribution to journalArticle

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