Elderly JW male was admited to Hospital with hyperglycemia and Ketoacidosis. He had a history of continuous vomiting for the past 2 days.
Past history of Gastric Ulcer resulting in Gastric Outlet obstruction 1 month ago which was partially resolved by endoscopic dilatation of pylorus.
The surgeon feels this has recurred now and wants to resolve the obstruction with a Gastro jejenostomy by pass once the blood glucose levels come down.
However one issue is the patient has a low albumin level of 2.6 and the surgeon feels that with a low albulminlevel there may be a 10-25% post op risk of burst abdomen even though it is a laproscopy and a smaller chance of anastomotic leak.
The patient is undecided about taking albumin as it is a blood fraction and wants to know if there any viable alternatives.
The surgeon was told about colloids such as heta and penta starch and gelatin, dextran etc but feels this will not suffice