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

Mitchell, Alexandra; Perry, Rachel; England, Clare; Searle, Aidan; Atkinson, Charlotte

doi:10.11124/jbisrir-2017-003764

Cited by 9 publications

(8 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…MNA which was developed almost 20 years ago, still remains the most widely used screening tool for malnutrition among adults or the elderly. Initially, this tool included 18 questions (Original Full MNA) while later was constructed the Short Form of MNA consisting of 6 questions to simplify the process [ 13 , 14 , 15 , 16 ].…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Pre- and Post-Operative Nutrition Assessment in Patients with Colon Cancer Undergoing Ileostomy

Vasilopoulos

Makrigianni

Polikandrioti

et al. 2020

IJERPH

View full text Add to dashboard Cite

Introduction: Patients undergoing ileostomy surgery often experience electrolyte disturbances and dehydration, especially during the first post-operative period. Recently, research has also begun on how the newly constructed ileostomy affects the patient’s nutritional status. Aim: The aim of the present pilot study was to assess the nutritional status of patients before and after the construction of the ileostomy as well as nutrition-related factors. Material and Method: This was a pilot study. The sample consisted of 13 adult patients diagnosed with colorectal or colon cancer who underwent scheduled ileostomy surgery. The evaluation tool used was “Original Full Mini Nutritional Assessment (MNA)”. Patients underwent nutritional assessment before the surgery (time 0), on the 7th post-operative day (time 1), and on the 20th post-operative day (time 2). The statistical significance level was set at p < 0.05. Results: All patients had a drop in MNA score on the 7th and 20th post-operative days. Factors associated with MNA were weight loss, mobility, body mass index (BMI), number of full meals consumed per day, portions of fruits and vegetables consumed per day, and mid-arm circumference, p < 0.05, respectively. Pre-operatively, 38.5%, of patients had severe weight loss (>3 kg), 23% moderate weight loss and 38.5% minimal weight loss. Pre-operatively, 92.3% of participants were able to move on their own and 69.2% on the 20th post-operatively day. Furthermore, BMI >23 kg/m2 had 84.6% of participants pre-operatively and 30.8% on the 20th post-operative day. In terms of portions of fruits and vegetables consumed per day, 30.8% of patients consumed at least 2 times, pre-operatively and no one (0%) on the 20th post-operative day. Moreover, pre-operatively all participants (100%) had arm circumference >22 cm while on the 20th post-operative day, only 38.5% of participants had arm circumference >22 cm. Conclusions: In the first 20 days after the construction of an ileostomy, the nutritional status of the patients is significantly affected. Decreased patient nutrition in both quantity and ingredients and reduced fluid intake appear to adversely affect the patient’s nutritional status.

show abstract

Section: Methodsmentioning

confidence: 99%

“…More in detail, this short and valid tool which is easily applied in daily practice, may help clinicians to develop prompt strategies to improve the nutritional state of ileostomy patients. Furthermore, in patients with malnutrition, the perioperative support may decrease the risk of post-operative leakage and infectious complications [ 16 ].…”

Section: Methodsmentioning

confidence: 99%

Pre- and Post-Operative Nutrition Assessment in Patients with Colon Cancer Undergoing Ileostomy

Vasilopoulos

Makrigianni

Polikandrioti

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…People with an ileostomy frequently modify their diet and report that dietary implications of their ileostomy affect daily life [8][9][10]. Unfortunately, although dietary advice is important to ileostomists [11], evidence to inform practice is limited [12] and what may be problematic for some may pose no or little issue for others [2].…”

Section: Introductionmentioning

confidence: 99%

Provision of dietary advice for people with an ileostomy: a survey in the UK and Ireland

2020

View full text Add to dashboard Cite

Aim The aim was to explore whether people with an ileostomy in the UK and Ireland receive the dietary advice they require. Method An online survey with multiple-choice questions asked people with an ileostomy about the dietary advice they received and would have preferred to receive. Participants were recruited via websites of the Ileostomy and Internal Pouch Association and Crohn's and Colitis UK and via social media. People with a current ileostomy, age 16 years or over, and living in the UK or Ireland were eligible for inclusion. Responses were analysed using descriptive statistics. Results In all, 291 eligible responses were received and included in the analysis; 201 (69%) received advice on diet for their ileostomy from a healthcare professional or the internet. Of the 90 who did not receive dietary advice, 82 (91%) would have liked advice. Stoma nurses were the most common source of dietary advice (55%), but many other sources were frequently reported. Most (62%) felt that at least some dietary advice they received was conflicting. Over half (55%) felt anxious about managing their diet with a new ileostomy, 39% were confused, and 31% frustrated. Of 291 respondents, 29% received advice from a dietitian compared to 60% who would have preferred advice from a dietitian. Conclusion Many people undergoing ileostomy surgery do not receive the dietary advice and support they require. Healthcare professionals working with people with an ileostomy should be mindful they are often anxious about their diet and require clear and consistent dietary advice and support.

show abstract

“…Consequently, postostomy patients usually receive specific dietary advice to minimize complications associated with the stoma. 18,19 While a number of institutes have published dietary recommendations, currently, there is lack of consensus dietary guidelines for postostomy patients, 17,20 posing a challenge for patients, hospital foodservices, and treating clinicians.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, depending on the area affected, the removal of large segments of the bowel and the formation of an ostomy can affect the absorption of nutrients and electrolytes and reabsorption of fluids, leading to nutritional challenges 17 ; for instance, some patients with end ileostomies have limited capacity to absorb vitamin B12 due to partial or complete loss of their terminal ileum. Consequently, postostomy patients usually receive specific dietary advice to minimize complications associated with the stoma 18,19 . While a number of institutes have published dietary recommendations, currently, there is lack of consensus dietary guidelines for postostomy patients, 17,20 posing a challenge for patients, hospital foodservices, and treating clinicians.…”

Section: Introductionmentioning

confidence: 99%

Quality of life in postostomy surgery patients: A cross‐sectional survey

et al. 2020

View full text Add to dashboard Cite

Background and Aim: Ostomy is a radical treatment that is sometimes required due to severe inflammatory bowel disease (IBD), colorectal cancer (CRC), and so on. Around 8000 people in New Zealand live with stoma bags. We studied factors associated with poor quality of life (QoL) in ostomy patients to improve patient care. Methods: Eligible adult patients identified through the Southern District Health Board database were invited to participate. The survey consisted of the general stoma QoL, IBD, CRC QoL, and dietary and lifestyle questionnaires. Results: Response rate was 54.5% (n = 241/448). Study participants were a mean (SD) 70.9 (14.2) years old, 60.6% were male, and 89.5% were New Zealand European; 52.5% of the study participants had a colostomy, and 56.4 and 22.4% received their stoma due to CRC and IBD, respectively. Median (first-third interquartile range) duration since ostomy for overall study sample was 6.9 (3.3-15.1) years. Mean (SD) Stoma-QoL score for all the patients was 60.3 (10.8) points (scale 20-80). Stomaunderlying disease (P = 0.28) and type of stoma (P = 0.60) were not associated with Stoma-QoL scores. Older adults had higher Stoma-QoL, IBD questionnaire and QLQ-C30 quality-of-life scores; 73.1% received dietary recommendations for the stoma, And 56.4% changed their diet, 51.4% found it easy to adhere to dietary recommendations, and 9.2% found it quite/very difficult. Conclusion: This study found high-quality life scores in postostomy patients and no significant association between the underlying disease, time since ostomy, level of comorbidities, and how the appliance worked, which highlight the multifactorial nature of the quality of life concept and difficulties measuring it.

show abstract

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

Cited by 9 publications

References 30 publications

Pre- and Post-Operative Nutrition Assessment in Patients with Colon Cancer Undergoing Ileostomy

Pre- and Post-Operative Nutrition Assessment in Patients with Colon Cancer Undergoing Ileostomy

Provision of dietary advice for people with an ileostomy: a survey in the UK and Ireland

Quality of life in postostomy surgery patients: A cross‐sectional survey

Contact Info

Product

Resources

About