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- Title
Established enteral nutrition pathway in a severe acute pancreatitis patient with duodenum fistula: a case report.
- Authors
Li, G; Shen, X; Ke, L; Tong, Z; Li, W
- Abstract
Enteral feeding is the preferred way to provide nutritional support in patients with high nutritional risk but relatively normal gastrointestinal function; thus, establishing a safe and a reliable pathway of enteral nutrition (EN) is of great importance. There are many techniques for placing the feeding tube, such as blind placement at bedside, assisting by fluoroscopy and endoscopy, surgical and so on. Despite these variable techniques, it is still difficult to obtain the pathway for EN in some specific patients. Here, we present a recent case of infected pancreatic/peripancreatic necrosis complicated by a duodenal enteric fistula in whom we establish the feeding pathway extraordinarily. Briefly, after several failed attempts of placing the nasojejunal feeding tube, a jejunal feeding tube was placed percutaneously guided by computed tomography, and EN was successfully applied thereafter. With the implementation of EN, duodenal fistula healed without surgical intervention. As EN is pivotal for the recovery of duodenal fistula, this novel approach could be beneficial in selected patients.
- Subjects
ENTERAL feeding; PANCREATITIS; INTESTINAL fistula; DUODENUM abnormalities; GASTROINTESTINAL system physiology; SEVERITY of illness index; PANCREATITIS treatment; COMPUTED tomography; DUODENUM; ENDOSCOPY; JEJUNUM; GASTRIC intubation; PATIENT selection
- Publication
European Journal of Clinical Nutrition, 2015, Vol 69, Issue 10, p1176
- ISSN
0954-3007
- Publication type
journal article
- DOI
10.1038/ejcn.2015.135