High output stomas detection and approach analisys: Still a challenge

• Autores: José Javier Arenas Villafranca, Cristobal López Rodríguez, Ana A. Fontalva, Norberto Gándara Adán, Pilar Utrilla Navarro, Jimena Abilés Osinaga
• Localización: European journal of clinical pharmacy: atención farmacéutica, ISSN 2385-409X, Vol. 17, Nº. 4, 2015, págs. 3-3
• Idioma: inglés
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• Resumen

  • Background: The complications that may follow the formation of a stoma have been amply described, but little is known about high output stomas. Our aim is to review the ostomies performed focusing on the detection and evolution of high output stomas.

    Method: A retrospective observational study was conducted of patients who underwent an ostomy procedure in a General Hospital. The presence and severity of ostomy complications were examined specially stoma outputs.

    Results: Of the 39 ostomies performed: 28.2% ileostomies/71.8% colostomies. None of the colostomy patients presented a high-output episode. However, of those who underwent ileostomy, six were classified as high-output (􀀋p<􀀟0.05)􀀌.

    The cause of the high output was not identified by clinicians. All these patients were wrongly advised to increase their oral intake of fluids, and in no case was plasma magnesium measured. On being discharged from hospital, none of the patients were given nutritional nor pharmacological recommendations to manage the high output. 33% of them were later readmitted in relation to the ostomy.

    Conclusions: High output is a common complication but one that is seldom reported. High Output Stomas 􀀋HOS􀀌 are not normally addressed from the clinical standpoint, and this produces a lack of information regarding the corresponding pathophysiological parameters and is associated with various complications that could increase morbidity and mortality among these patients.