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Management of a High Output Stoma, Jejunotomy or Uncomplicated Enterocutaneous Fistula
2023Jeremy Nightingale
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Dietary management of patients with a high-output stoma
Nursing Standard, 2022A stoma enables faeces and flatus to be passed through a small surgically formed aperture in the abdominal wall, and may be temporary or permanent. However, in some cases, the output of a stoma can exceed normal limits. Without appropriate management, a high-output stoma can lead to dehydration, electrolyte disturbances and malnutrition in patients ...
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Causes and management of a high-output stoma
Colorectal Disease, 2011Patients with a high-output stoma (HOS) (> 2000 ml/day) suffer from dehydration, hypomagnesaemia and under-nutrition. This study aimed to determine the incidence, aetiology and outcome of HOS.The number of stomas fashioned between 2002 and 2006 was determined.
M. L. Baker +2 more
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Management of intestinal failure and high-output stomas
British Journal of Nursing, 2007Intestinal failure and a high faecal output from a stoma or fistula are rare gastrointestinal complications. Intestinal failure occurs when the intestine fails to absorb sufficient fluids and nutrients to maintain life, and can result from bowel resection or malabsorption.
Jo, Sica, Jennie, Burch
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1246 High Output Stoma Management Audit
British Journal of Surgery, 2023Abstract Aim High output stomas lead to a myriad of complications for patients including dehydration, electrolyte imbalances, poor skin integrity & altered bowel function. However, this issue is not well recognised amongst junior doctors.
J Mollier +4 more
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Safe management of ileostomates with high-output stomas
British Journal of Nursing, 2016An ileostomy is where the small bowel is diverted to the abdominal surface resulting in the formation of a stoma. An Ileostomy can be temporary or permanent and produces loose faeces. Some ileostomates can develop high output in the early postoperative stage. Most will resolve, some will require ongoing treatment and management.
Ann, Goodey, Sharon, Colman
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Managing high-output stomas: Module 3 of 3
British Journal of Nursing, 2013Enterocutaneous fistulae (ECF) and high-output stomas are challenging to manage, owing to the large volume of loss that may result in severe dehydration, electrolyte imbalances, malnutrition and sepsis. It is imperative that this group of patients receive adequate nutrition, as malnutrition and sepsis are the leading cause of death.
Rebecca, Slater, Simon, Gabe
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Nutritional and fluid requirements: high-output stomas
Gastrointestinal Nursing, 2012Based on the current available evidence, this article explores the nutritional management of those with a high-output stoma. The main alterations required to the intake of patients with a high-output stoma include the use of an oral rehydration solution to ensure optimum absorption of fluid and sodium, and a high-calorie, high-protein diet, with the ...
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Orchestrating the management of patients with high-output stomas
British Journal of Nursing, 2014Working in isolation, managing high-output stomas can be stressful and difficult, with patient outcomes varying significantly. For the stoma care clinical nurse specialist, managing the choice of stoma appliance is only a small part of the care provided. To standardise and improve outcomes for patients with high-output stomas, team working is required.
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High-output stoma after small-bowel resections for Crohn's disease
Nature Clinical Practice Gastroenterology & Hepatology, 2005A 56-year-old Caucasian woman with a history of Crohn's disease and multiple bowel resections resulting in a loop jejunostomy was referred to our Nutritional Unit from a neighboring district general hospital for further management. She was first seen in October 2001, and initial assessment indicated that she was malnourished with fluid depletion ...
Stephen K K, Tsao +2 more
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