Nutritional Management of a Patient with a High-Output Stoma after Extensive Small Bowel Resection to Treat Crohn's Disease

Clinical Nutrition Research
Yun Jung LeeMisun Park

Abstract

For patients with short bowel syndrome who undergo ileostomy, nutritional management is essential to prevent complications associated with a high-output stoma (HOS). We report a practical example of ostomic, medical nutrition therapy provided by an intensive nutritional support team (NST). A 42-year-old male with a history of Crohn's disease visited Seoul National University Hospital for treatment of mechanical ileus. He underwent loop ileostomy after extensive small bowel resection. As his remaining small bowel was only 160 cm in length, the stomal output was about 3,000 mL/day and his body weight fell from 52.4 to 40.3 kg. Given his clinical condition, continuous tube feeding for 24 h was used to promote adaptation of the remnant bowel. Thereafter, an oral diet was initiated and multiple, nutritional educational sessions were offered by dietitians. Constant infusion therapy was prescribed and included in the discharge plan. Two months after discharge, his body weight had increased to 46.6 kg and his hydration status was appropriately maintained. This case suggests that the critical features of medical nutritional therapy for ostomy management are frequent assessments of fluid balance, weight history, and laboratory data and a...Continue Reading

References

Jan 15, 2000·Annals of Surgery·O BernellG Hellers
Dec 17, 2003·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jon S ThompsonAlan N Langnas
Dec 6, 2005·Nature Clinical Practice. Gastroenterology & Hepatology·Stephen K K TsaoJeremy M D Nightingale
Nov 6, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M L BakerJ M D Nightingale
Jul 9, 2013·Journal of the Academy of Nutrition and Dietetics·Elizabeth A Wall
Jan 15, 2014·JPEN. Journal of Parenteral and Enteral Nutrition·Marion F Winkler, Carol E Smith
Jan 15, 2014·JPEN. Journal of Parenteral and Enteral Nutrition·Laura E MatareseStephen J D O'Keefe
May 10, 2015·Nutrition Journal·Jose J Arenas VillafrancaPilar Utrilla Navarro
Jul 1, 2014·Frontline Gastroenterology·Christopher G MountfordNicholas P Thompson

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Citations

Aug 28, 2020·International Journal of Environmental Research and Public Health·Georgios VasilopoulosGeorgia Fasoi
May 19, 2021·International Journal of Nursing Knowledge·Concepción Capilla-DíazCésar Hueso-Montoro

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