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 gun shot wound  



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Author5 Posts
  #1

A 22-year-old man sustains a gunshot wound to the abdomen. At exploration, an apparently solitary distal small-bowel injury is treated with resection and primary anastomosis. On postoperative day 7, small-bowel fluid drains through the operative incision. The fascia remains intact. The fistula output is 300 mL/day and there is no evidence of intraabdominal sepsis. Which of the following is the correct treatment?

A. Early reoperation to close the fistula tract
B. Broad-spectrum antibiotics
C. Total parenteral nutrition
D. Somatostatin to lower fistula output
E. Loperamide to inhibit gut motility




  #2

D. Somatostatin to lower fistula output


  #3

Ans is C. Total parenteral nutrition


  #4

give a brief explanation? Thanks a lot and GL. :lol:


  #5

c-as the fistula is draining outside no need to worry.
total parenteral nutrition.





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