Clinical practice in the management of enteroatmospheric fistula and fistuloclysis: a case report.
Glorinha Pereira Alves, Larissa Carvalho de Castro, Juliano Teixeira Moraes and 1 others
PMID 39918347WHAT IT FOUND
One patient with a high-output enteroatmospheric fistula had intestinal effluent collected and reinfused into the distal bowel.
Weight rose from 60 kg to 68.8 kg after fistuloclysis, but this single case cannot prove the method works.
Key findings
01Fistuloclysis was implemented because enteral nutrition was not sufficient to maintain clinical and nutritional parameters.
02Effluent was collected by gravity, filtered, and reinfused through a catheter placed in the distal fistula segment, up to twice daily when 200 ml had drained.
03After fistuloclysis began, hydration, nutritional status, and anthropometric measurements improved, with weight rising from 60 kg to 68.8 kg between 06/27/2023 and 07/16/2023.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a single case report, so it describes what happened to one patient rather than showing that fistuloclysis works. There was no comparison group, and the improvement is shown as before-and-after table values. The patient also received enteral nutrition and extensive hospital care, so fistuloclysis cannot be separated from other treatments. The paper states there were no pre-established protocols for performing and caring for fistuloclysis. The references are from other countries and may differ in resources available in Brazil. The table reports only two time points, 06/27/2023 and 07/16/2023, and the outcome of the planned surgery is not shown.
The easy way to misread this
Do not read the weight gain from 60 kg to 68.8 kg as proof that fistuloclysis caused recovery. The patient also received enteral nutrition and comprehensive care, and this is a single case report with no comparison group.