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|Title: ||Early Closure Versus Oral Feeding For External Gastrointestinal Fistulae|
|Authors: ||Igun, G.O|
|Keywords: ||oral diet,|
early surgical closure,
mortality and morbidity.
|Issue Date: ||2003|
|Publisher: ||Journal of Med in The Tropics|
|Series/Report no.: ||Vol.5;No.1;Pp 10-15|
|Abstract: ||This work sets out to evaluate the merits and demerits of management of external gastrointestinal fistulas (EGF) with oral diets (OD) and early surgical closure (ESC). It was a controlled randomized prospective study of 53 patients with EGF carried out during a ten-year period at the Jos University Teaching Hospital. Twenty five patients were assigned to OD against 28 patients who were assigned to ESC. Hospital mortality rate for OD was 56% against 25% for ESC (p>0.05). A significant difference in morbidity however was noted especially as intractable diarrhoea was observed in 60% of patients on OD as opposed to 10% in patients in the ESC group. Also significant differences were recorded for severe dehydration which in OD group was 56% against 7% in the ESC group. There was a significantly longer period of hospitalization in the OD group, which was more than 3 days. There was no significant difference in weight gain at six weeks of treatment in the two groups. At six months of treatment, there was fistula closure rate of 63% in the OD group as against 72% in the ESC group which difference was not statistically significant. Both OD and ESC were equally effective in achieving fistula closure at 6 months of treatment but significant number of patients in the OD group suffered from troublesome diarrhoea and dehydration.|
|Appears in Collections:||Surgery|
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