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[External fistulas of the small intestines in the newborn infant and child. Medical aspects and digestive resuscitation (19 cases)].
Nouv Presse Med. 1976 Nov; 5(39):2611-5.NP

Abstract

The prognosis in fistulae of the small intestine in the infant and child is totally different according to whether they develop following a simple operation involving the healthy small intestine or multiple or complicated operations on pathological bowel. Under these latter conditions, constant medico-surgical cooperation, modern techniques of renutrition (total parenteral renutrition or constant flow enteral nutrition), together with restoration of water/electrolyte balance and the treatment of infections give increasingly satisfactory results. In a series of 19 children, with 26 enterocutaneous fistulas, deaths were reduced to 4. Independently of recourse to surgery determined by local abdominal conditions (peritonitis, obstruction) or persistence of the fistula, the choice between total parenteral renutrition and constant flow enteral nutrition (C.F.E.N.) depend essentially upon the site of the fistula. When the latter is proximal the digestive tract may not be used, while C.F.E.N. may be employed when it is distal, sometimes resulting in cure without further surgery.

Authors

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Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

825832

Citation

Navarro, J, et al. "[External Fistulas of the Small Intestines in the Newborn Infant and Child. Medical Aspects and Digestive Resuscitation (19 Cases)]." La Nouvelle Presse Medicale, vol. 5, no. 39, 1976, pp. 2611-5.
Navarro J, Mougenot JF, Nicoladzé D, et al. [External fistulas of the small intestines in the newborn infant and child. Medical aspects and digestive resuscitation (19 cases)]. Nouv Presse Med. 1976;5(39):2611-5.
Navarro, J., Mougenot, J. F., Nicoladzé, D., Lupold, M., Gruner, M., & Polonovski, C. (1976). [External fistulas of the small intestines in the newborn infant and child. Medical aspects and digestive resuscitation (19 cases)]. La Nouvelle Presse Medicale, 5(39), 2611-5.
Navarro J, et al. [External Fistulas of the Small Intestines in the Newborn Infant and Child. Medical Aspects and Digestive Resuscitation (19 Cases)]. Nouv Presse Med. 1976;5(39):2611-5. PubMed PMID: 825832.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [External fistulas of the small intestines in the newborn infant and child. Medical aspects and digestive resuscitation (19 cases)]. AU - Navarro,J, AU - Mougenot,J F, AU - Nicoladzé,D, AU - Lupold,M, AU - Gruner,M, AU - Polonovski,C, PY - 1976/11/1/pubmed PY - 1976/11/1/medline PY - 1976/11/1/entrez SP - 2611 EP - 5 JF - La Nouvelle presse medicale JO - Nouv Presse Med VL - 5 IS - 39 N2 - The prognosis in fistulae of the small intestine in the infant and child is totally different according to whether they develop following a simple operation involving the healthy small intestine or multiple or complicated operations on pathological bowel. Under these latter conditions, constant medico-surgical cooperation, modern techniques of renutrition (total parenteral renutrition or constant flow enteral nutrition), together with restoration of water/electrolyte balance and the treatment of infections give increasingly satisfactory results. In a series of 19 children, with 26 enterocutaneous fistulas, deaths were reduced to 4. Independently of recourse to surgery determined by local abdominal conditions (peritonitis, obstruction) or persistence of the fistula, the choice between total parenteral renutrition and constant flow enteral nutrition (C.F.E.N.) depend essentially upon the site of the fistula. When the latter is proximal the digestive tract may not be used, while C.F.E.N. may be employed when it is distal, sometimes resulting in cure without further surgery. SN - 0301-1518 UR - https://www.unboundmedicine.com/medline/citation/825832/[External_fistulas_of_the_small_intestines_in_the_newborn_infant_and_child__Medical_aspects_and_digestive_resuscitation__19_cases_]_ DB - PRIME DP - Unbound Medicine ER -