卵巢癌复发并发肠梗阻术后高位小肠外瘘营养支持治疗1例  

Medical nutrition support for postoperative proximal enterocutaneous fistula in recurrent ovarian cancer complicated with intestinal obstruction:a case report

作　　者：刘鹏举[1] 成宁海[2] 于康[1] Liu Pengju;Cheng Ninghai;Yu Kang(Department of Clinical Nutrition,Department of Health Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical Science and Peking Union Medical College,Beijing 100730,China;Gynecological Oncology Center,Peking Union Medical College Hospital,Chinese Academy of Medical Science and Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院,北京协和医学院,北京协和医院临床营养科,北京100730 [2]中国医学科学院,北京协和医学院,北京协和医院妇科肿瘤中心,北京100730

出　　处：《中华临床营养杂志》2024年第3期176-179,共4页Chinese Journal of Clinical Nutrition

摘　　要：卵巢癌患者易患癌性肠梗阻,往往需要手术治疗,肠外瘘是术后可能的并发症之一。肠外瘘的处理需要分阶段逐步处理。医学营养支持治疗是其中重要的环节,但需要根据患者的肠外瘘部位、瘘口输出量、脏器功能、营养状况等因素制定个体化的营养策略。该文报告1例卵巢癌复发并发肠梗阻患者术后发生高位小肠外瘘的营养支持疗法,文中回顾了相关文献,以期为肠外瘘的营养支持治疗提供参考。Patients with ovarian cancer are prone to malignant bowel obstruction and often require surgical treatment,which could possibly lead to postoperative complications including enterocutaneous fistula.The treatment of enterocutaneous fistula requires phased and gradual approaches.Medical nutrition support is an important part of enterocutaneous fistula management,of which personalized strategies need to be developed based on factors such as the location of the intestinal fistula,fistula output,organ function,and nutritional status of patients.Here we report a case of nutritional therapy for a patient with recurrent ovarian cancer complicated with malignant bowel obstruction who developed a proximal enterocutaneous fistula after surgery.The relevant literature are reviewed,with the aim of informing nutritional therapy for enterocutaneous fistula.

关 键 词：卵巢癌 肠外瘘 营养支持治疗 

分 类 号：R737.31[医药卫生—肿瘤]