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European Journal of Trauma and Emergency Surgery

Erschienen in:

01.06.2013 | Review Article

Nutritional support in patients following damage control laparotomy with an open abdomen

verfasst von: V. Bansal, R. Coimbra

Erschienen in: European Journal of Trauma and Emergency Surgery | Ausgabe 3/2013

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Abstract

Introduction

Damage control laparotomy (DCL) and the open abdomen have been well accepted following either severe abdominal trauma or emergency surgical disease. As DCL is increasingly utilized as a therapeutic option, appropriate management of the post-DCL patient is important. Early caloric support by enteral nutrition (EN) in the critically ill patient improves wound healing and decreases septic complications, lung injury, and multi-system organ failure. However, following DCL, nutritional strategies can be challenging and, at times, even daunting.

Conclusions

Even though limited data exist, the use of early EN following DCL seems safe, provided that the patient is not undergoing active resuscitation or the bowel is not in discontinuity. It is unknown as to whether EN in the open abdomen reduces septic complications, prevents enterocutaneous fistula (ECF), or alters the timing of definitive abdominal wall closure. Future investigation in a prospective manner may help elucidate these important questions.

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Titel: Nutritional support in patients following damage control laparotomy with an open abdomen
verfasst von: V. Bansal
R. Coimbra
Publikationsdatum: 01.06.2013
Verlag: Springer-Verlag
Erschienen in: European Journal of Trauma and Emergency Surgery / Ausgabe 3/2013
Print ISSN: 1863-9933
Elektronische ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-013-0287-1

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