A 47-year-old patient undergoing a complicated laparotomy for bowel obstruction develops a postoperative enterocutaneous fistula. Which of the following statement(s) is/are true concerning parenteral nutritional support in the postoperative period?
A. Oral intake can result in severe dehydration, electrolyte abnormalities, and perifistula skin injury
B. Total parenteral nutrition increases the spontaneous closure rate of intestinal fistula
C. Total parenteral nutrition decreases mortality rate in patients with intestinal fistulas
D. The use of TPN better prepares the patient for surgery if surgical intervention proves necessary
Answer:A
A 47-year-old patient undergoing a complicated laparotomy for bowel obstruction develops a postoperative enterocutaneous fistula. Which of the following statement(s) is/are true concerning parenteral nutritional support in the postoperative period?
A. Oral intake can result in severe dehydration, electrolyte abnormalities, and perifistula skin injury B. Total parenteral nutrition increases the spontaneous closure rate of intestinal fistula C. Total parenteral nutrition decreases mortality rate in patients with intestinal fistulas D. The use of TPN better prepares the patient for surgery if surgical intervention proves necessary