THE RESPONSE OF PATIENTS WITH FISTULAS OF THE GASTROINTESTINAL-TRACT TO PARENTERAL-NUTRITION

  • 1 January 1981
    • journal article
    • research article
    • Vol. 153  (1) , 77-80
Abstract
Total parenteral nutrition is an effective form of therapy for fistulas of the gastrointestinal tract. In the series, reported mortality in unselected patients on total parenteral nutrition was 26%. Not all patients respond equally to total parenteral nutrition. Those < 65 yr of age, with nonmalignant disease or completely resected neoplasm have a close to 100% fistula closure rate if no other significant disease is present. The elderly patient dies more easily and there is little improvement in mortality with the use of total parenteral nutrition in this group. Patients with a fistula associated with residual intraabdominal disease did poorly on total parenteral nutrition.

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