A practical approach to the management of high-output stoma

Mountford, C; Manas, Derek; Thompson, NP

doi:10.1136/flgastro-2013-100375

Cited by 36 publications

(72 citation statements)

References 18 publications

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“…8,9 The colon reabsorbs fluids and electrolytes, therefore, people with an ileostomy or jejunostomy have greater losses of these in their faeces and looser output. 10,11 Definition of high-output stoma varies and is usually considered as output greater than between 1 and 2L/day. 8,10,11 Mismanagement of high-output stomas can lead to dehydration, acute kidney injury and malnutrition.…”

Section: Introductionmentioning

confidence: 99%

“…10,11 Definition of high-output stoma varies and is usually considered as output greater than between 1 and 2L/day. 8,10,11 Mismanagement of high-output stomas can lead to dehydration, acute kidney injury and malnutrition. 10,12 The shorter the length of GI tract left available for digestion, the greater the risk of malabsorption of nutrients, and therefore malnutrition.…”

Section: Introductionmentioning

confidence: 99%

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Dietary management in people with an ileostomy: a scoping review protocol

Mitchell¹,

Perry

England³

et al. 2019

JBI Database of Systematic Reviews and Implementation Reports

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Review question/objective: The objective of this scoping review is to identify and map the evidence for oral dietary management of ileostomies. The primary review question is: what oral dietary strategies for managing ileostomies in humans have been reported? The secondary review questions are: i) what types of evidence have considered oral dietary strategies for managing ileostomies; ii) what aspects of ileostomy management (for example, stoma output or flatulence) are the oral dietary strategies considered to affect; and iii) what sources do people with an ileostomy receive dietary advice from?

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Dietary management in people with an ileostomy: a scoping review protocol

Mitchell¹,

Perry

England³

et al. 2019

JBI Database of Systematic Reviews and Implementation Reports

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show abstract

“…The probability of HPN dependency at 5 years is variable depending on the cause of the original HPN requirement, with a significantly increased risk of remaining on HPN at 5 years in those with SBS versus a much lower risk in those with an intestinal fistula. When 1,2, and 5-year survival in patients with CIF is compared between literature from 1999 [33] and 2017 [90], very little change has been observed (87 vs. 88%, 77 vs. 80%, and 62 vs. 64%). The underlying disease process remains responsible for 65% of deaths within this cohort.…”

Section: The Economic and Social Burdenmentioning

confidence: 96%

Intestinal failure in adults: Recommendations from the ESPEN expert groups

et al. 2018

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Both AIF and CIF are relatively rare conditions and most of the published work presents evidence from small, single-centre studies. Much remains to be investigated to improve the diagnosis and management of IF and future studies should rely on multidisciplinary, multicentre and multinational collaborations that gather data from large cohorts of patients. Emphasis should also be placed on partnership with patients, carers and government agencies in order to improve the quality of research that focuses on patient-centred outcomes that will help to improve both outcomes and quality of life in patients with this devastating condition.

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“…High output stomas are a much less common problem, but one which can be poorly managed. Mountford and colleagues offer the latest of our Curriculum Based Review series on this topic 5. Rooted in explanation of the pathophysiology of intestinal secretion and fluid balance, they provide a thoroughly practical step-wise approach to care which incorporates appropriate use of medications, how and when to supplement micronutrients, and concludes by considering the surgical options to manage such high outputs.…”

Section: Practical Approaches To Common and Complex Problemsmentioning

confidence: 99%

Highlights from this issue

Emmanuel¹

2014

Frontline Gastroenterol

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A practical approach to the management of high-output stoma

Cited by 36 publications

References 18 publications

Dietary management in people with an ileostomy: a scoping review protocol

Dietary management in people with an ileostomy: a scoping review protocol

Intestinal failure in adults: Recommendations from the ESPEN expert groups

Highlights from this issue

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