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  • Title: [Treatment of postoperative gastrointestinal fistulas by long-term parenteral feeding].
    Author: Peitsch W, Becker HD, Burkhardt K.
    Journal: Chirurg; 1977 Jun; 48(6):403-6. PubMed ID: 407057.
    Abstract:
    Twenty-nine anastomotic leakages of the gastrointestinal tract were treated by long-term parenteral nutrition; 20 closed spontaneously, the lethality was 18.3%. Especially, well-drained fistulas of the distal small bowel and the colon show a tendency to closure and should be treated by long-term parenteral hyperalimentation (2500-4000 KCal/24 h), if no signs of ileus or diffuse peritonitis are apparent. The technique and chance for success of hyperalimentation are discussed.
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