Abstract
Thoracic duct fistulas represent one of the serious technical complications of head and neck surgery, and reoperation for control of the leakage involves considerable morbidity and mortality. In an attempt to define the possibilities of both enteral and parenteral nutrition in the treatment of this problem, two comparable groups of patients were given, respectively, one or the other of these modalities. Significant advantages for parenteral nutrition could be demonstrated regarding duration of therapy (p < 0.05), closure rate (p < 0.05), and nutritional response (p < 0.05). These results strongly recommend the utilization of parenteral nutrition in the primary therapy of thoracic duct fistulas. (Journal of Parenteral and Enteral Nutrition 10:519-521, 1986)

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