Nutrition Support of Adult Patients With Enterocutaneous Fistula

Publication Date: December 2, 2016
Last Updated: March 14, 2022

Recommendations

We suggest the following:
  • Malnutrition be diagnosed by nutrition history, including unintentional weight loss and estimation of energy/nutrient intake, and physical examination.
  • Assessment for malnutrition be conducted at the time of diagnosis of an ECF. If malnutrition is not present at baseline, periodic nutrition assessment is warranted as patients with fistulas have a high likelihood of becoming malnourished due to nutrient malabsorption, fluid and electrolyte losses, and sepsis.
  • Serum protein concentrations be obtained prior to and during nutrition therapy since they are prognostic outcome indicators, yet are not sensitive nutrition markers.
(, VL - Very Low)
658

Overview

Title

Nutrition Support of Adult Patients With Enterocutaneous Fistula

Authoring Organization

American Society for Parenteral and Enteral Nutrition