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Review
. 2014 Jul;5(3):203-207.
doi: 10.1136/flgastro-2013-100375. Epub 2013 Oct 31.

A practical approach to the management of high-output stoma

Christopher G Mountford  1 , Derek M Manas  2 , Nicholas P Thompson  1
Affiliations
Review

A practical approach to the management of high-output stoma

Christopher G Mountford et al. Frontline Gastroenterol. 2014 Jul.

Abstract

The development of a high-output stoma (HOS) is associated with water, electrolyte and nutritional complications. Prompt, careful assessment and management is required to avoid rapid clinical deterioration in this patient population. A multidisciplinary approach to management ensures the best possible outcome and quality of life for patients who experience HOS. This article outlines the important considerations in the identification and pathophysiology of HOS. A systematic approach to the management of the condition is outlined, considering fluid and electrolyte requirements, nutrient deficiencies and manipulation of gastrointestinal absorption, motility and secretions using medical and surgical therapies.

Keywords: CLINICAL DECISION MAKING; GASTROINTESTINAL PHYSIOLOGY; INTESTINAL FAILURE; NUTRITIONAL SUPPORT.

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