Spontaneous Closure of Enterocutaneous Fistula: Total Parenteral Nutrition Compared to Enteral Nutrition. A Review of the Evidence.

Research output: Contribution to journalArticle

Abstract

Abstract Clinical Question: In adults with enterocutaneous fistulas, does nil per os status and total parenteral nutrition result in spontaneous closure of the fistula compared to enteral nutrition? Answer: No. TPN and bowel rest have not been proven to directly facilitate spontaneous fistula closure. Given the inherent complications of TPN and the benefits of EN, EN should be utilized as early as possible in the nutritional management of ECF patients, sparing TPN for when EN is contraindicated or as a bridge until EN can be tolerated by the patient. More studies are needed to directly compare rates of spontaneous ECF closure with TPN vs. EN.
Original languageAmerican English
JournalOklahoma State Medical Proceedings
Volume1
Issue number4
StatePublished - 2019

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Intestinal Fistula
Total Parenteral Nutrition
Enteral Nutrition
Fistula

Keywords

  • Enterocutaneous Fistula
  • Total Parenteral Nutrition
  • Enteral Nutrition
  • Nil Per Os

Cite this

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title = "Spontaneous Closure of Enterocutaneous Fistula: Total Parenteral Nutrition Compared to Enteral Nutrition. A Review of the Evidence.",
abstract = "Abstract Clinical Question: In adults with enterocutaneous fistulas, does nil per os status and total parenteral nutrition result in spontaneous closure of the fistula compared to enteral nutrition? Answer: No. TPN and bowel rest have not been proven to directly facilitate spontaneous fistula closure. Given the inherent complications of TPN and the benefits of EN, EN should be utilized as early as possible in the nutritional management of ECF patients, sparing TPN for when EN is contraindicated or as a bridge until EN can be tolerated by the patient. More studies are needed to directly compare rates of spontaneous ECF closure with TPN vs. EN.",
keywords = "Enterocutaneous Fistula, Total Parenteral Nutrition, Enteral Nutrition, Nil Per Os",
author = "Brian Diener",
year = "2019",
language = "American English",
volume = "1",
journal = "Oklahoma State Medical Proceedings",
issn = "2475-8914",
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T1 - Spontaneous Closure of Enterocutaneous Fistula: Total Parenteral Nutrition Compared to Enteral Nutrition. A Review of the Evidence.

AU - Diener, Brian

PY - 2019

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N2 - Abstract Clinical Question: In adults with enterocutaneous fistulas, does nil per os status and total parenteral nutrition result in spontaneous closure of the fistula compared to enteral nutrition? Answer: No. TPN and bowel rest have not been proven to directly facilitate spontaneous fistula closure. Given the inherent complications of TPN and the benefits of EN, EN should be utilized as early as possible in the nutritional management of ECF patients, sparing TPN for when EN is contraindicated or as a bridge until EN can be tolerated by the patient. More studies are needed to directly compare rates of spontaneous ECF closure with TPN vs. EN.

AB - Abstract Clinical Question: In adults with enterocutaneous fistulas, does nil per os status and total parenteral nutrition result in spontaneous closure of the fistula compared to enteral nutrition? Answer: No. TPN and bowel rest have not been proven to directly facilitate spontaneous fistula closure. Given the inherent complications of TPN and the benefits of EN, EN should be utilized as early as possible in the nutritional management of ECF patients, sparing TPN for when EN is contraindicated or as a bridge until EN can be tolerated by the patient. More studies are needed to directly compare rates of spontaneous ECF closure with TPN vs. EN.

KW - Enterocutaneous Fistula

KW - Total Parenteral Nutrition

KW - Enteral Nutrition

KW - Nil Per Os

M3 - Article

VL - 1

JO - Oklahoma State Medical Proceedings

JF - Oklahoma State Medical Proceedings

SN - 2475-8914

IS - 4

ER -