A Cross-sectional Study of Nutritional Status, Diet, and Dietary Restrictions Among Persons With an Ileostomy or Colostomy

Olieira, Ana Livia de; Moreira, António Paulo; Netto, Michele Pereira; Leite, Isabel Cristina Gonçalves

doi:10.25270/owm.2018.5.1829

Cited by 44 publications

(74 citation statements)

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“…The result of the current study that patients reduced the number of full meals and the intake of fruits and vegetables post-operatively is in line with Oliviera et al [ 24 ] who showed that ileostomy patients (20%) avoided foods for fear of appliance leakage when compared with colostomy ones (4.8%), and reported the intake of vegetables and fruits as the most problematic. Interestingly, patients with an ileostomy tend to decrease total intake and restrict consumption of some foods due to repercussions on the volume and appearance of feces and other issues associated with aesthetics and well-being.…”

Section: Discussionsupporting

confidence: 91%

Pre- and Post-Operative Nutrition Assessment in Patients with Colon Cancer Undergoing Ileostomy

Vasilopoulos

Makrigianni

Polikandrioti

et al. 2020

IJERPH

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Introduction: Patients undergoing ileostomy surgery often experience electrolyte disturbances and dehydration, especially during the first post-operative period. Recently, research has also begun on how the newly constructed ileostomy affects the patient’s nutritional status. Aim: The aim of the present pilot study was to assess the nutritional status of patients before and after the construction of the ileostomy as well as nutrition-related factors. Material and Method: This was a pilot study. The sample consisted of 13 adult patients diagnosed with colorectal or colon cancer who underwent scheduled ileostomy surgery. The evaluation tool used was “Original Full Mini Nutritional Assessment (MNA)”. Patients underwent nutritional assessment before the surgery (time 0), on the 7th post-operative day (time 1), and on the 20th post-operative day (time 2). The statistical significance level was set at p < 0.05. Results: All patients had a drop in MNA score on the 7th and 20th post-operative days. Factors associated with MNA were weight loss, mobility, body mass index (BMI), number of full meals consumed per day, portions of fruits and vegetables consumed per day, and mid-arm circumference, p < 0.05, respectively. Pre-operatively, 38.5%, of patients had severe weight loss (>3 kg), 23% moderate weight loss and 38.5% minimal weight loss. Pre-operatively, 92.3% of participants were able to move on their own and 69.2% on the 20th post-operatively day. Furthermore, BMI >23 kg/m2 had 84.6% of participants pre-operatively and 30.8% on the 20th post-operative day. In terms of portions of fruits and vegetables consumed per day, 30.8% of patients consumed at least 2 times, pre-operatively and no one (0%) on the 20th post-operative day. Moreover, pre-operatively all participants (100%) had arm circumference >22 cm while on the 20th post-operative day, only 38.5% of participants had arm circumference >22 cm. Conclusions: In the first 20 days after the construction of an ileostomy, the nutritional status of the patients is significantly affected. Decreased patient nutrition in both quantity and ingredients and reduced fluid intake appear to adversely affect the patient’s nutritional status.

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Section: Discussionsupporting

confidence: 91%

Pre- and Post-Operative Nutrition Assessment in Patients with Colon Cancer Undergoing Ileostomy

Vasilopoulos

Makrigianni

Polikandrioti

et al. 2020

IJERPH

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“…Some studies recommend ileostomates to aim for a dietary sodium intake of 250 mmol/d, corresponding to 14.6 g table salt/d. A recent cross‐sectional study assessed sodium intake in 40 ileostomates to be 76 (±58) mmol sodium/d, which seems low in comparison. It may be problematic if ileostomates comply to the general health recommendations to decrease sodium intake, particularly if they mainly ingest hypo‐osmolar fluids.…”

Section: Discussionmentioning

confidence: 99%

A Single Urine Sodium Measurement May Validly Estimate 24‐hour Urine Sodium Excretion in Patients With an Ileostomy

Pedersen

Rud

Wilkens

et al. 2019

J Parenter Enteral Nutr

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Background Sodium deficiency in patients with an ileostomy is associated with chronic dehydration and may be difficult to detect. We aimed to investigate if the sodium concentration in a single spot urine sample may be used as a proxy for 24‐hour urine sodium excretion. Methods In a prospective observational study with 8 patients with an ileostomy and 8 volunteers with intact intestines, we investigated the correlations and agreements between spot urine sodium concentrations and 24‐hour urine sodium excretions. Spot urine samples were drawn from every micturition during 24 hours, and relevant blood samples were drawn. All participants documented their food and fluid intakes. Results There was a high and statistically significant correlation between 24‐hour natriuresis and urine sodium concentrations in both morning spot samples (n = 8, Spearman's rho [ρ] = 0.78, P = 0.03) and midday spot samples (n = 8, ρ = 0.82, P = 0.02) in the patients with an ileostomy. The agreement between methods was fair (bias = −1.5, limits of agreement = −32.3 to 29.4). There were no statistically significant associations for evening samples or for samples from volunteers with intact intestines independently of time of day. Conclusion A single spot urine sodium sample obtained in the morning or midday may estimate 24‐hour urine sodium excretion in patients with an ileostomy and thus help to identify sodium depletion.

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“…Up to 20% of patients with an ileostomy report food avoidance due to appliance leakage and cite vegetables and fruits as the worst offenders. [42] This is especially problematic in older cancer patients because anorexia and cachexia are common and are compounded by polypharmacy and chemotherapy. [43] Additionally, older cancer patients and their caregivers may actually perceive weight loss as beneficial or healthy rather than being related to the cancer or its treatments.…”

Section: Ostomies and Nutritionmentioning

confidence: 99%

A Surgeon’s Guide to Treating Older Patients With Colorectal Cancer

Kim

Lee

Skinner

et al. 2019

Curr Colorectal Cancer Rep

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Purpose of review: Review strategies to improve outcomes of colorectal cancer treatment in older patients. Recent findings: Older colorectal patients face many barriers to recovery during their initial inpatient stay following surgery and after leaving the hospital. In addition to the risk of inpatient morbidity and mortality, older patients are more likely to require post-acute care services, to face nutritional deficits, and to experience complications of chemoradiation. Summary: In order to improve outcomes for older patients with colorectal cancer, it is important for surgeons to recognize their unique needs and to develop plans to address them. The involvement of a multidisciplinary team with geriatric experience can guide planning for surgery, the immediate postoperative recovery, and long-term survivorship.

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A Cross-sectional Study of Nutritional Status, Diet, and Dietary Restrictions Among Persons With an Ileostomy or Colostomy

Cited by 44 publications

References 0 publications

Pre- and Post-Operative Nutrition Assessment in Patients with Colon Cancer Undergoing Ileostomy

Pre- and Post-Operative Nutrition Assessment in Patients with Colon Cancer Undergoing Ileostomy

A Single Urine Sodium Measurement May Validly Estimate 24‐hour Urine Sodium Excretion in Patients With an Ileostomy

A Surgeon’s Guide to Treating Older Patients With Colorectal Cancer

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