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Postoperative upper gastrointestinal sinus PUGIF is a devastating complication leading to high mortality reaching up to 80 magnified length of hospital stay reduced health-related quality of living and increased health costs Nutritional subscribe is a key component part of therapy in such cases which is associated to the high prevalence of malnutrition In the prophylactic scene intestinal alimentation EN is joint with a shorter weight loss in 1 hour hospital stay axerophthol lower incidence of terrible infective complications lower severity of complications and decreased cost compared to total parenteral nutrition TPN following major upper berth GI GI surgical proces There is small testify available for the curative setting after sinus happening We hypothecate that EN increases the 30-day fistula closure value atomic number 49 PUGIF allowing better health-related timbre of life without flared the unwholesomeness Beaver State deathrate Methodsdesign

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