Nova técnica de alimentação enteral em fístulas esôfago-jejunais

Nova técnica de alimentação enteral em fístulas esôfago-jejunais

Alternative title New approach to enteral nutrition in esophagojejunal fistulae
Author Marks, Guido Google Scholar
Fagundes, Djalma José Autor UNIFESP Google Scholar
Cevalos, Francisco A Google Scholar
Institution Universidade Federal de Mato Grosso do Sul Depto. de Clínica Cirúrgica
Universidade Federal de São Paulo (UNIFESP)
Serviço de Endoscopia
Abstract BACKGROUND: A new procedure for the treatment of esophageal fistula, mainly associated to the ebb esophagojejunal in patients submitted to the total gastrectomy and reconstruction with loop jejunal Rouxen-Y anastomosis is present. METHODS: The method is based in the use of probe standard enteral prolongated with drain to laminate adapted in extremity, which results in advanced positioning inside the jejunum, making the administration of enteral nutrition possible and impeding ebb esophagojejunal. RESULTS: The authors discuss the theoretical advantages of the procedure and they suggest that the treatment of esofagic fistula with probe prolonged enteral would be suitable in the treatment of the fistula esophagojejunal by preventing the ebb esophagojejunal, which would result in smaller period of duration of the fistula esophagojejunal and it would prevent the high mortality rate. CONCLUSIONS: Preliminary studies demonstrated that this is a technically easy, low cost procedure through the endoscopic use. A prospective evaluation for morbility and mortality related to the method is needed.
Keywords Fistula
Digestive system fistula
Gastroesophageal reflux
Anastomosis
Roux-en-Y
Enteral Nutrition
Postoperative complications
Language Portuguese
Date 2004-02-01
Published in Revista do Colégio Brasileiro de Cirurgiões. Colégio Brasileiro de Cirurgiões, v. 31, n. 1, p. 64-67, 2004.
ISSN 0100-6991 (Sherpa/Romeo)
Publisher Colégio Brasileiro de Cirurgiões
Extent 64-67
Origin http://dx.doi.org/10.1590/S0100-69912004000100012
Access rights Open access Open Access
Type Article
SciELO ID S0100-69912004000100012 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/2001

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