The effect of isotonic drinks on electrolyte abnormalities of ileostomy patients: Preliminary results

Chalkia, Antigoni; Migdanis, Athanasios; Koukoulis, Georgios; Mamaloudis, Ioannis; Migdanis, Ioannis; Malisiova, Eleni; Gioulbasanis, Ioannis; Tzovaras, Georgios

doi:10.1016/j.clnesp.2016.03.015

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“…16 Some specific components of dietary management, such as ORS and marshmallows, have also been tested in a few small-scale experimental studies. 6,17,18 Despite considerable variation in length of intestine remaining for digestion and absorption with different types of stoma, as described above, some studies fail to differentiate and acknowledge the implications of this on complications and dietary management. 19,20 It has been reported that people with a stoma are often not satisfied with the dietary advice they receive, and that the advice is insufficient, inconsistent, and can be conflicting.…”

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Dietary management for people with an ileostomy: a scoping review

Mitchell

England

Perry

et al. 2021

JBI Evidence Synthesis

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Objective: To identify and map the evidence for oral dietary management of ileostomies.Introduction: Dietary advice is commonly provided for ileostomy management but can be inconsistent, conflicting, and inadequate. There is a lack of high-quality research investigating dietary management of ileostomies. This scoping review highlights gaps in the literature that need addressing to inform practice and identifies dietary strategies and outcomes to be investigated in future studies.Inclusion criteria: Evidence relating to the use of oral dietary strategies in humans to manage complications and nutritional consequences associated with having an ileostomy. Evidence included all types of original research, i.e. quantitative and qualitative methodologies, and expert opinion articles and consensus guidelines. Methods: This review followed the JBI methodology for systematic scoping reviews. A predetermined search of 13 databases, including MEDLINE, Embase and Web of Science, was conducted in August 2019. The search was not limited by date but during screening expert opinion evidence was limited to 2008 onwards. Data extraction was carried out by two reviewers for each study/article using a database tool designed specifically for this review. Results are presented using a combination of tabular summaries and narrative report.Results: 31 research studies were included; 11 experimental (including four crossover RCTs), three pre-post design, 13 observational (12 cross-sectional, one longitudinal), and four qualitative. 44 expert opinion articles/guidelines were also included. In experimental studies, nine nutrient modifications and 34 individual foods/drinks were investigated. In pre-post studies, ten nutrient modifications, 80 Conclusions: This review found an abundance of literature, particularly expert opinion, reporting on dietary management for people with an ileostomy. However, this literature was highly heterogenous in terms of dietary strategies and outcomes reported. It is likely that most dietary advice provided in practice is based on expert opinion with some supported by limited research. High-quality research investigating the effect of the dietary strategies identified in this review on commonly associated outcomes relating to ileostomy management is needed to improve evidence-based advice.

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The effect of isotonic drinks on electrolyte abnormalities of ileostomy patients: Preliminary results

Cited by 1 publication

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Dietary management for people with an ileostomy: a scoping review

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