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[Postoperative duodeno-cutaneous fistula in an infant: conservative treatment, total parenteral nutrition]
Insights
Conservative treatment is recommended for duodeno-cutaneous fistula. This approach, supported by total parenteral nutrition (TPN) and nasogastric suction, proved successful in an infant with nesidioblastosis undergoing staged pancreatectomy.
Area of Science:
- Gastroenterology
- Pediatric Surgery
Background:
- Duodenocutaneous fistula presents a complex surgical challenge, particularly in infants.
- Nesidioblastosis is a rare pancreatic condition that can complicate surgical management.
Observation:
- A case study involving an infant diagnosed with nesidioblastosis and a duodenocutaneous fistula.
Findings:
- Conservative management, including total parenteral nutrition (TPN) and continuous nasogastric suction, was effective.
- Staged pancreatectomy was performed as part of the treatment protocol.
Implications:
- Highlights the efficacy of conservative strategies in managing duodenocutaneous fistulas in infants.
- Suggests that TPN and nasogastric suction are crucial adjuncts to surgical intervention in complex pediatric cases.
Abstract:
In case of duodeno-cutaneous fistula conservative treatment is advisable. Its successful results, also due to fundamental T.P.N. support and continuous naso gastric suction, has been obtained in an infant with nesidioblastosis, treated by staged pancreatectomy.