2013 Volume 33 Issue 4 Pages 711-715
Since the start of our NST activities in April 2002, we have treated 940 cases a total of 5,470 times. As for cases of abdominal emergencies, we have treated 59 cases 481 times. These latter patients included 12 cases of gastrointestinal perforation, 11 of suture insufficiency, 6 of abdominal traumatic injury, 3 of rupture of aortic aneurysm, 6 of short bowel syndrome, 7 of serious severe acute pancreatitis, 2 of hemorrhagic enterocolitis, 3 of ischemic enterocolitis, 3 of pseudomembranous colitis, and 6 of acute hepatitis. TPN was first employed for cases with shock or sepsis. We made it rule to control the blood sugar to under 150 mg/dL with reinforcement insulin therapy. We adopted early enteral nutrition for cases in whom the intestinal tract was usable. We administered GFO, a functional diet comprising glutamine, dietary fiber and oligosaccharide, for cases not fed for over two weeks. For cases of renal failure undergoing haemodialysis, we administered 110% to 120% quantity of amino acids of the conventional composition. We used antiinflammatory nutrients, with increased n3 type fatty acids and antioxidants and reduced arginine, in a case of respiratory failure and severe infectious disease. Detection of occult blood and protein in the feces using a urinalysis tape and a search for the CD toxin in the watery diarrhea were useful for the diagnosis of enterocolitis. Most patients recovered and could leave the hospital.
