Granulated sugar to reduce an incarcerated prolapsed defunctioning ileostomy

Mohammed, Oluwafunke; West, Malcolm; Chandrasekar, R.

doi:10.1136/bcr-2012-007565

Cited by 13 publications

(5 citation statements)

References 7 publications

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“…There are several reports of successful use of sugar as osmotic therapy to aid in treatment of oedema to allow manual reduction [495][496][497][498] as well as hyaluronidase [499]. Some simple devices have been described in case series to prevent recurrence of stoma prolapse [500].…”

Section: Prolapse Question 74mentioning

confidence: 99%

“…First‐line management is gentle manual reduction which should ideally be undertaken promptly prior to the formation of significant oedema [ 494 ]. There are several reports of successful use of sugar as osmotic therapy to aid in treatment of oedema to allow manual reduction [ 495 , 496 , 497 , 498 ] as well as hyaluronidase [ 499 ]. Some simple devices have been described in case series to prevent recurrence of stoma prolapse [ 500 ].…”

Section: Stomasmentioning

confidence: 99%

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The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery

et al. 2021

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Aim There is a requirement for an expansive and up to date review of the management of emergency colorectal conditions seen in adults. The primary objective is to provide detailed evidence‐based guidelines for the target audience of general and colorectal surgeons who are responsible for an adult population and who practise in Great Britain and Ireland. Methods Surgeons who are elected members of the Association of Coloproctology of Great Britain and Ireland Emergency Surgery Subcommittee were invited to contribute various sections to the guidelines. They were directed to produce a pathology‐based document using literature searches that were systematic, comprehensible, transparent and reproducible. Levels of evidence were graded. Each author was asked to provide a set of recommendations which were evidence‐based and unambiguous. These recommendations were submitted to the whole guideline group and scored. They were then refined and submitted to a second vote. Only those that achieved >80% consensus at level 5 (strongly agree) or level 4 (agree) after two votes were included in the guidelines. Results All aspects of care (excluding abdominal trauma) for emergency colorectal conditions have been included along with 122 recommendations for management. Conclusion These guidelines provide an up to date and evidence‐based summary of the current surgical knowledge in the management of emergency colorectal conditions and should serve as practical text for clinicians managing colorectal conditions in the emergency setting.

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Section: Prolapse Question 74mentioning

confidence: 99%

Section: Stomasmentioning

confidence: 99%

The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery

et al. 2021

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“…For acute stoma prolapse, manual reduction can be attempted at the bed side. In cases of significant bowel edema, topical granulated sugar may be effective as an osmotic therapy [3,10,46]. Once the prolapse has reduced, adjusting the pouch size and the opening in the skin barrier may prevent trauma.…”

Section: Stoma Prolapsementioning

confidence: 99%

Current Management of Intestinal Stomas and Their Complications

Tsujinaka

Tan

Miyakura

et al. 2020

J Anus Rectum Colon

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Inappropriate stoma site, improper management of stoma, and stoma complications lead to diminished quality of life of ostomates. Healthcare professionals involved in stoma creation and/or care should have the fundamental and updated knowledge of the management of stomas and their complications. This review article consists of the following major sections: principles of perioperative patient management, early complications, and late complications. In the "principles of perioperative patient management" section, the current concepts and trends in preoperative education, stoma site marking, postoperative education, and patient educational resources are discussed. In the "early complications" section, we have focused on the etiology and current management of ischemia/necrosis, fluid and electrolyte imbalances, mucocutaneous separation, and retraction. In the "late complications" section, we have focused on the etiology and current management of parastomal hernia, stoma prolapse, parastomal varices, and pyoderma gangrenosum. Pre-and postoperative patient education facilitates the patient's independence in stoma care and resumption of normal activities. Healthcare providers should have basic skills and updated knowledge on the management of stomas and complications of stomas, to act as the first crisis manager for ostomates.

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“…Existing management of stoma prolapse for the most part involves simple manual reduction with adequate pain control. More recently the use of osmotic agents has been widely adopted for reduction of oedema to facilitate manual reduction [4][5][6]. Failure to achieve this in an awake or sedated patient indicates a general anaesthetic to ensure complete reduction.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Enteropexy for Prolapsing Stoma: A Case Series Describing a Novel Technique

Davidson

Healy

Blackburn

et al. 2018

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Granulated sugar to reduce an incarcerated prolapsed defunctioning ileostomy

Abstract: This case report discusses the successful application of granulated sugar to reduce a prolapsed ileostomy thereby eliminating the need for an emergency surgery.

Cited by 13 publications

References 7 publications

The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery

The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery

Current Management of Intestinal Stomas and Their Complications

Laparoscopic Enteropexy for Prolapsing Stoma: A Case Series Describing a Novel Technique

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