Semi-elemental diet is effective in managing high output ileostomy; a case report
| العنوان: | Semi-elemental diet is effective in managing high output ileostomy; a case report |
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| المؤلفون: | Ahmad, Suhaib JS, Khan, Asad, Madhotra, Ravi, K. Exadaktylos, Aristomenis, Milioto, Maria Elena, Macfaul, George, Rostami, Kamran |
| المصدر: | Gastroenterology and Hepatology From Bed to Bench |
| بيانات النشر: | Shaheed Beheshti University of Medical Sciences, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Ulcerative colitis, Ileostomy, Case Report, Elemental diet, Short bowel, High-output stoma |
| الوصف: | A notable proportion of surgically created stomas develop high output. Ongoing monitoring and treatment of hight stoma output is imperative to avoid risk of complications. Prevailing management guidelines focus mainly on supportive measures and medications that alter bowel motility. However, some patients fail to respond to these measures, leaving few substitutes. This report documents the use of semi-elemental diet in the management of a high-output ileostomy case. A 58-year-old patient underwent multiple bowel resections that resulted in a small intestine measuring 90 cm, with an end ileostomy being performed. He was on home parenteral nutrition (HPN) for over 9 years and was admitted to the hospital with an episode of sepsis from an infected line. One day prior to the hospital admission, the stoma was producing 7.2 litres/day. The Patient was advised to start Vital 1.5 10-15/day (2.5-3 litres/day) exclusively, in addition to his 1.5 litres of IV fluid, based on the nutritional requirement as calculated by a dietitian. Following the introduction of the semi-elemental diet, the ileostomy output dropped swiftly to 2 litres/day, 9 days post admission, and the BMI remained stable. This report suggests a possible role for semi-elemental diet in the management of ileostomies with short bowel syndrome. Based on our previous experience and this case, elemental or semi-elemental diet may both be used as a mono-therapy, in patients with high ileostomy output, even in cases with small bowel length as short as 90cm. |
| اللغة: | English |
| تدمد: | 2008-4234 2008-2258 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=pmid________::d81a3782596f5d746ef0b6d17446b0b1 http://europepmc.org/articles/PMC6536019 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.pmid..........d81a3782596f5d746ef0b6d17446b0b1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20084234 20082258 |
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