Resumo

CORRALES LOPEZ, Henry José  e  VELASCO VAIDA, Geovanna Sergia. Octreotide in fístula enterocutanea. REVISTA MEDICIS [online]. 2007, n.4, pp. 39-41. ISSN 1818-5223.

In spite of signifícant progresses in the treatment of the enteric fístulas in passing of last the 40 years, the abdominal fístulas continué representing signifícant a clinical problem, vvith a global mortality from 15 to 25%. Mac Fayden ET to, Soeters ET to, and Rose ET to related greater rates of spontaneous closing (40 to 70%) in the great series of patients. The fístulas are generally complications of operation, but they can constitute a secondary complication to a pathological process in evolution. The present work which we presented/displayed deals with a patient of 56 years of operated age of coledocolitiasis, that evolves to the 5 operating day pos with duodenal fístula of low debit by incidental injury, for its treatment we took into account several factors: its location, causes, its debit, nutricional state of the patient and is present at or sepsis absence; the treatment that is made is preservative with nutricional support by enteral route through nasoyeyunal catheter of Dobbehoff. maintenance of the hidratación by intravenous route, somatostatna (Octreotide) by subcutaneous route during a month and fífteen days, taken care of of the operating wound with where the spontaneous closing of the fístula is observed.

Palavras-chave : Digestive fístula; Enteral Nutrition; Somatostatina.