Treatment of external gastrointestinal fistulas by a combination of total parenteral nutrition and somatostatin.

摘要: Thirty-seven patients with external gastrointestinal fistulas were treated a combination of total parenteral nutrition (TPN) and somatostatin (ST). There was significant fall in fistula output within the first day treatment (p > 0.001). On combined therapy, reduction 70%, 68% cases, fell to less than 50% initial level. Spontaneous closure observed 82% time taken close ranged between 1 14 days starting therapy [5.4 ± 0.7 (mean SEM)]. The response TPN-ST occurred irrespective age sex patients, duration daily before ST use, their location tract. Infection factor adverse prognosis. In all absence mechanical obstacles, that combines TPN could be tried continued up cases which falls ...