Jesús Urbistazu

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Indira Guedez

María Cadenas Rodríguez

Central University Hospital of Asturias

Morella Vargas

J. Méndez-Cabeza Velázquez

Hospital Universitario de Fuenlabrada

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Central University Hospital of Asturias

Universidad de Oviedo

Hospital Universitario de Fuenlabrada

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Soporte nutricional en pacientes con abdomen abierto

J. Méndez-Cabeza Velázquez Jesús Urbistazu Morella Vargas Indira Guedez María Cadenas Rodríguez

Objective: We have designed a protocol to evaluate the tolerance, effectiveness and the nutritional support in post-surgical patients with an open abdomen. Patients and methods: We have made a prospective descriptive study of patients submitted to surgery and left with an open abdomen with a Bogota bag, and have received nutritional support. The patients who have stayed for less than 4 days with the open abdomen where excluded. A group received total parenteral nutrition (TPN) with mixtures all in one; another group received enteral nutrition (EN) through a needle catheter jejunostomy (NCJ) and a third group received mixed nutritional support. To evaluate the tolerance to EN, we have included those patients receiving this type of nutrition for at least 4 consecutive days without having diarrhea or pain. A jejunostomy catheter was placed in all patients by need o puncturing during the surgical act.

Jejunostomy

Enteral administration

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