Enterocutaneous Fistula (ECF) Resolution with Isonitrogenous Parenteral Nutrition (PN) L-Carnitine (LC) and Ramped Infusion of Octreotide (Oct) (P12-054-19)

摘要

ObjectivesPN is a mainstay for ECF after pancreatoduodenectomy. LC has been studied for cutaneous wound healing. Oct lacks consistent evidence in ECF but may be beneficial with soft pancreatic texture or small ducts, as in pediatric patients. Prior experience suggests that intravenous Oct is superior for ECF than intermittent forms. This case demonstrates the value of isonitrogenous PN, LC and Oct infusion in ECF management.