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Article
July 1948

EFFECT OF EXCLUSIVE PARENTERAL FEEDING ON THE CLOSURE OF A PANCREATIC FISTULAStudy Made After Duodenopancreatic Resection for Carcinoma of the Ampulla of Vater

Author Affiliations

ST. LOUIS
From the Department of Surgery, Washington University Medical School and Barnes Hospital.

Arch Surg. 1948;57(1):104-112. doi:10.1001/archsurg.1948.01240020107009
Abstract

THIS REPORT describes observations made on a patient with a complete pancreatic fistula. It is the first time, we believe, that the influence of exclusive parenteral feeding in such a case has been reported. Changes in pancreatic secretion were of special interest; of therapeutic importance was the spontaneous permanent closure of the fistula during the regimen.

REPORT OF A CASE  M. B., a 67 year old white man, entered the St. Louis City Hospital in May, 1947, with a history of jaundice of three weeks' duration. He had lost 50 pounds 22.7 Kg. of weight over a period of six months and had had a profound anorexia for this same period. His urine was dark, and he had light-colored stools. He had no pain whatever. He had had no chills or fever. The past history and the family history were noncontributory.Physical exxamination revealed a poorly nourished white man appearing

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