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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


D. Somatostatin to lower fistula output


Ans is C. Total parenteral nutrition


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


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

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