Metabolism of body water and electrolytes after surgery for ulcerative colitis: Conventional ileostomy <i>versus</i> J pouch

Christie, P. M.; Knight, G. S.; Hill, Graham L.

doi:10.1002/bjs.1800770211

Cited by 26 publications

(7 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Christie et al (1990) compared TBW with tritiated water in two groups, 14 patients with an ileostomy and 20 patients with an ileal pouch with controls, and no group presented with chronic dehydration. Hydration for ileal pouch patients was 0.76 compared to 0.73 for ileostomy patients.…”

Section: Hydration Of Ffmmentioning

confidence: 99%

Body composition in patients with short bowel syndrome: An assessment by bioelectric impedance spectroscopy (BIS) and dual–energy absorptiometry (DXA)

2004

View full text Add to dashboard Cite

Objective: To describe body composition in patients with short bowel syndrome (SBS) by using bioelectric impedance spectroscopy (BIS), dual-energy X-ray absorptiometry (DXA) measurements and anthropometrical-derived estimates. Subjects: In all, 19 patients were included, mean age 54 y, range 36-77 (F/M¼11/8). Mean BMI was 21.5 kg/m 2 . Eight patients were on home parenteral nutrition (HPN). Methods: Total body water (TBW), intracellular water and extracellular water were assessed by BIS. TBW were derived from DXA. Fat-free mass (FFM) was assessed by BIS and DXA. TBW and FFM were predicted according to an empirical formula. Differences were analysed using the Bland-Altman method. Results: The mean difference between TBW (DXA) and TBW (BIS) was À1.1 l in women and À1.8 l in men. For FFM, the mean difference between FFM (DXA) and FFM (BIS) was À1.7 kg in women and À2.5 kg in men. The mean difference between TBW (DXA) and TBW (BIS) for all patients was -1.2 l and limits of agreement were (-7.80À5.40). Hydration of FFM assessed by BIS gave a mean of 0.75 (0.08). Conclusion: The limits of agreement (Bland-Altman) between DXA and BIS were wide, indicating that methods are not interchangeable, which limits its clinical utility. Most of our patients with SBS were maintained in a stable clinical condition within normal limits of body weight and BMI. FFM and TBW did not appear to be altered in ileostomates or those on HPN.

show abstract

Section: Hydration Of Ffmmentioning

confidence: 99%

Body composition in patients with short bowel syndrome: An assessment by bioelectric impedance spectroscopy (BIS) and dual–energy absorptiometry (DXA)

2004

View full text Add to dashboard Cite

show abstract

“…Daily fecal weight, urinary volume, and urinary excretion of sodium were similar in patients with ileal pouch-anal anastomosis and conventional ileostomy. Using tritiated water and a bromide dilution technique, Christie et al (81) showed that the body content of water and extracellular fluid are normal in patients with ileal pouch-anal anastomosis.…”

Section: Water and Electrolyte Balancementioning

confidence: 99%

Clinical and Physiological Aspects of Ileal Pouch-Anal Anastomosis

Salemans

Nagengast

1995

Scandinavian Journal of Gastroenterology

View full text Add to dashboard Cite

Salemans JMJI, Nagengast FM. Clinical and physiological aspects of ileal pouch-anal anastomosis. Scand J Gastroenterol 1995;30 Suppl 212:3-12.Proctocolectom y with ileal pouch-anal anastomosis is the surgical treatment of choice for severe chronic ulcerative colitis and familial polyposis coli because the entire colonic mucosa is removed while anal function can be preserved and the necessity for permanent ileostomy is eliminated. Long-term functional results are generally gratifying, as defecation frequency and degree of incontinence are acceptable in most patients. Pouchitis, however, a non-specific inflammation of the ileal reservoir, is a major long-term complication occurring in a considerable number o f patients. The etiology of pouchitis is unknown. Since pouchitis occurs more frequently or even exclusively in ulcerative colitis patients it is assumed that pouchitis is a novel manifestation o f inflammatory bowel disease. However, bacterial overgrowth in the ileal pouch may also play a pathogenetic role. Chronic inflammation and villous atrophy o f varying severity is found in virtually all pouches. Acute inflammatory changes and ulceration are associated with pouchitis.

show abstract

“…Moreover, recrudescence of intestinal inflammation, as in Crohn's disease, may cause chronic increase of fluid loss through the stoma. Although several studies have shown that subjects with an ileostomy and no inflammatory activity have a normal water content according to dilution and current techniques (Christie et al, 1990;Cooper et al, 1986;Nilsson et al, 1982), the increase in water turnover constitutes a risk of dehydration in case the ileostomy discharge is not compensated for.…”

Section: Introductionmentioning

confidence: 99%

“…BIS values consistently fell between values from dilution methods and DXA. Ileostomy subjects are included in a few previous reports (Christie et al, 1990;Cooper et al, 1986;Nilsson et al, 1982), but have not attracted much interest before. The IBD-population raises specific problems in the analysis of body composition: an increased susceptibility to dehydration was mentioned above.…”

mentioning

confidence: 99%

Body composition in patients with an ileostomy and inflammatory bowel disease: validation of bio-electric impedance spectroscopy (BIS)

2002

View full text Add to dashboard Cite

Objective: To validate bio-electric impedance spectroscopy (BIS) by comparison with other methods for determination of body water compartments in stable subjects with an ileostomy and no or minor small bowel resection for inflammatory bowel disease (IBD). Subjects: Twenty-one subjects were included, age range 36 -65 y (female=male ¼ 12=9), Crohn's disease (CD), n ¼ 14, ulcerative colitis (UC), n ¼ 6 and indeterminate colitis (IDC), n ¼ 1. Methods: Fluid compartments were assessed by the use of three independent methods: BIS, dual-energy X-ray absorptiometry (DXA) and dilution techniques (DIL); tritiated water (total body water, TBW); and bromide (extracellular water, ECW), respectively. Intra-cellular water (ICW) was calculated as TBW 7 ECW. For comparison TBW was also predicted according to an empirical formula. Differences were analysed using Bland -Altman plots. Results: The mean TBW values obtained from the impedance measurement differed in the order of 7 2.21 (DIL) to 1.41 (DXA) in women and 7 2.01 (DIL) to 2.61 (DXA) in men, from the measured and derived values of total body water. Prediction of TBW gave values that were close to BIS, with a mean difference of 7 0.31 in male subjects and þ 0.51 in female subjects. Assessment of ECW revealed that the mean difference between dilution and impedance was less in women than in men (P < 0.01). Conclusion:The differences between all methods to assess fluid compartments are pronounced. To further investigate the use of the method in clinical practice for dynamic monitoring of rehydration in ileostomates with acute diarrhoea, repeated measurements together with comparison with weight fluid-balance charts are suggested.

show abstract

Metabolism of body water and electrolytes after surgery for ulcerative colitis: Conventional ileostomy versus J pouch

Cited by 26 publications

References 10 publications

Body composition in patients with short bowel syndrome: An assessment by bioelectric impedance spectroscopy (BIS) and dual–energy absorptiometry (DXA)

Body composition in patients with short bowel syndrome: An assessment by bioelectric impedance spectroscopy (BIS) and dual–energy absorptiometry (DXA)

Clinical and Physiological Aspects of Ileal Pouch-Anal Anastomosis

Body composition in patients with an ileostomy and inflammatory bowel disease: validation of bio-electric impedance spectroscopy (BIS)

Contact Info

Product

Resources

About