Medical Nutrition Therapy In Enterocutaneous Fistula: A Step-By-Step Approach

World Nutrition Journal

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Field Value
 
Title Medical Nutrition Therapy In Enterocutaneous Fistula: A Step-By-Step Approach
 
Creator Nathania, Maggie
Andayani, Diyah Eka
 
Subject Clinical Nutrition
enterocutaneous fistula, malnutrition, nutrition
 
Description Enterocutaneous fistula (ECF) management is a challenge that requires a multidisciplinary team approach in achieving optimal clinical output. Nutrition as a component of management plays a vital role in determining the prognosis, both as a predictor of morbidity and mortality. Malnutrition can also occurs as a preceeding situation or complication of ECF caused by the underlying disease, decreased food intake, increased protein requirements associated with systemic inflammation, and increased nutrient loss associated with the amount of fistula output. Thus, nutrition management can act as prevention, therapy, or both. Nutritional medical therapy in ECF cases aims to adequately estimate nutritional needs, maintain fluid and electrolyte balance, and stimulate spontaneous ECF closure whenever possible. To achieve optimal outcome, nutrition needs analysis must be done individually by considering the etiology, anatomical location of the fistula, and the amount of output. In the following article, we will discuss a comprehensive step-by-step nutrition treatment, both from the nutritional routes consideration, macronutrient and micronutrient requirements, specific nutrients, pharmacotherapy, and monitoring and evaluation that need to be done to achieve optimal clinical outcomes. 
 
Publisher Indonesian Nutrition Association
 
Contributor
 
Date 2021-02-26
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
 
Format application/pdf
 
Identifier http://worldnutrijournal.org/OJS/index.php/WNJ/article/view/V05.i1.0002
10.25220/WNJ.V05.i1.0002
 
Source World Nutrition Journal; Vol 5, No 1 (2021); 6-14
2580-7013
 
Language eng
 
Relation http://worldnutrijournal.org/OJS/index.php/WNJ/article/view/V05.i1.0002/151
http://worldnutrijournal.org/OJS/index.php/WNJ/article/downloadSuppFile/V05.i1.0002/33
http://worldnutrijournal.org/OJS/index.php/WNJ/article/downloadSuppFile/V05.i1.0002/34
http://worldnutrijournal.org/OJS/index.php/WNJ/article/downloadSuppFile/V05.i1.0002/35
 
Rights Copyright (c) 2021 Maggie Nathania
https://creativecommons.org/licenses/by-nc-sa/4.0
 

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