Case report demonstrates optimizing nutrition via chyme reinfusion in a critically ill male with duodenostomy, suggesting innovative applications for recovery.
This case report describes a novel approach to optimizing nutrition in a 47-year-old male who underwent multiple laparotomies following sulfuric acid ingestion. The resulting necrosis necessitated a total gastrectomy and subtotal jejunal resection, leaving the abdomen open and the bowel in discontinuity. The team utilized the 3 M Veraflo wound vac system to continuously draw digestive contents from the duodenum and infuse them with enteral feed via a Y-connector into the proximal ileum. While specialized chyme reinfusion devices exist, this paper highlights a unique application of the 3 M Veraflo system to circumvent disrupted anatomy and optimize recovery in a critically ill patient.
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Saed et al. (2026) studied this question.
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