La nutrizione artificiale nelle lesioni da ingestione di caustici.

Translated title of the contribution: Artificial nutrition in the management of lesions caused by caustic ingestion

B. Andreoni, R. Biffi, P. Padalino, A. Marini, L. Marzona, F. Belloli, S. Pozzi, M. L. Farina, G. Tiberio

Research output: Contribution to journalArticle

Abstract

Ingestion of a large amount of corrosive agent results in a life-threatening condition which requires a much more aggressive diagnostic and therapeutic approach than was formerly recommended. Based on experience with a wide spectrum of upper g-i injuries in 56 patients treated through a 5-year-period, the Authors suggest an early staging of the lesions by immediate endoscopy, followed by adequate resective surgery for high-degree esophago-gastric lesions. Indications, techniques of artificial nutrition and the nutritional requirements of this condition are presented and fully discussed. The prompt institution of total parenteral nutrition is an essential part of the emergency management of these lesions. Fourteen patients underwent surgical treatment for the lesions; in all cases a Witzel's feeding jejunostomy was performed and postoperative enteral nutrition was started. Eight patients underwent a reconstructive operation of colon interposition and received home-based total enteral nutrition for a period of 8-25 weeks. No major complications relate to nutritional support occurred and nutritional indexes were normal at the end of the treatment.

Translated title of the contributionArtificial nutrition in the management of lesions caused by caustic ingestion
Original languageItalian
Pages (from-to)42-48
Number of pages7
JournalChirurgia Italiana
Volume46
Issue number6
Publication statusPublished - 1994

ASJC Scopus subject areas

  • Surgery

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    Andreoni, B., Biffi, R., Padalino, P., Marini, A., Marzona, L., Belloli, F., Pozzi, S., Farina, M. L., & Tiberio, G. (1994). La nutrizione artificiale nelle lesioni da ingestione di caustici. Chirurgia Italiana, 46(6), 42-48.