Providing dietary advice for the individual with a stoma

Fulham, Juliette

doi:10.12968/bjon.2008.17.sup1.28146

Cited by 35 publications

(42 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…2 Jejunostomies are a less common form of intestinal stoma, for removal of faecal contents from the jejunum. 3 Urostomies are a type of stoma created for urine excretion. 2 Collectively these different types of stoma are often referred to as ostomies and people with a stoma called ostomates.…”

Section: Introductionmentioning

confidence: 99%

Dietary management in people with an ileostomy: a scoping review protocol

Mitchell¹,

Perry

England³

et al. 2019

JBI Database of Systematic Reviews and Implementation Reports

View full text Add to dashboard Cite

Review question/objective: The objective of this scoping review is to identify and map the evidence for oral dietary management of ileostomies. The primary review question is: what oral dietary strategies for managing ileostomies in humans have been reported? The secondary review questions are: i) what types of evidence have considered oral dietary strategies for managing ileostomies; ii) what aspects of ileostomy management (for example, stoma output or flatulence) are the oral dietary strategies considered to affect; and iii) what sources do people with an ileostomy receive dietary advice from?

show abstract

Section: Introductionmentioning

confidence: 99%

Dietary management in people with an ileostomy: a scoping review protocol

Mitchell¹,

Perry

England³

et al. 2019

JBI Database of Systematic Reviews and Implementation Reports

View full text Add to dashboard Cite

show abstract

“…Patients undergoing gastrointestinal surgery, which results in the formation of stoma, present particularly additional risk of developing malnutrition as a result of the effects of the underlying disease, prolonged fasting during pre-and postoperative periods, besides complications resulting from the surgical procedure (7)(8)(9) . However, there is little data in the literature regarding the nutritional status of ostomates in the pediatric population.…”

Section: Introductionmentioning

confidence: 99%

Estado nutricional de pacientes pediátricos ostomizados

Egito

Medeiros

Moraes

et al. 2013

Rev. paul. pediatr.

View full text Add to dashboard Cite

Objective: To assess the nutritional status of children submitted to ostomy for intestinal discharge.Methods: A descriptive case series was carried out including 30 children aged up to ten years old submitted to colostomy or ileostomy at the pediatric surgery unit of Institute of Medicine Professor Fernando Figueira, Recife, Pernambuco. Socioeconomic, clinical, anthropometric, and laboratorial (hemoglobin and hematocrit) data were collected using a structured questionnaire. Nutritional status was determined based on anthropometric indicators (height/age, weight/age, and body mass index/age), which were stratified by gender, with World Health Organization standards as reference. Arm circumference and triceps skinfold were measured for the evaluation of body composition. Chest and head perimeters were measured on children aged up to five years-old. The Student's t-test was applied to compare two independent groups, considering p<0.05 as significant.Results: All anthropometric indicators revealed nutritional deficit, especially in the height/age index, which revealed a frequency of 24.1% of short statue. Patients submitted to ileostomy presented lower mean Z score of anthropometric indicators, hemoglobin, hematocrit and ostomy time in comparison to those submitted to colostomy, with significant differences only for the Z score of body mass index/age (p=0.016), hemoglobin (p=0.025), and hematocrit (p=0.023). Conclusions:There is a substantial frequency of nutritional deficit in the analyzed sample, especially based on the height/ age index. Although ileostomized patients had less time of ostomy, they had higher nutritional deficit compared to the colostomized ones, likely due to greater risk of postoperative complications, with consequent nutritional impairment.Key-words: ostomy; nutritional status; child. RESUMO Objetivo:Avaliar o estado nutricional de crianças portadoras de ostomia de eliminação intestinal.Métodos: Realizou-se um estudo descritivo, tipo série de casos, com amostra composta por 30 crianças menores de dez anos, portadoras de colostomia ou ileostomia, admitidas na clínica cirúrgica pediátrica do Instituto de Medicina Integral Professor Fernando Figueira, no Recife, em Pernambuco. Foi utilizado um questionário estruturado para coletar dados socioeconômicos, clínicos, antropométricos e laboratoriais (hemoglobina e hematócrito). O diagnóstico nutricional foi realizado a partir dos indicadores antropométricos (altura/idade, peso/idade e índice de massa corpórea/idade), tomando-se como base o padrão de referência da Organização Mundial da Saúde. Também foram aferidas a circunferência do braço e a prega cutânea tricipital para avaliar a composição corporal, bem como os perímetros torácico e cefálico em crianças menores de cinco anos. Resultados: Encontrou-se comprometimento nutricional importante de acordo com os indicadores antropométri-cos estudados, destacando-se o déficit estatural (24,1%). Os pacientes ileostomizados apresentaram menores médias de escore Z dos indicadores antropométricos, hemo...

show abstract

“…Even a modest resection of the terminal ileum undertaken during the course of proctocolectomy decreased body weight largely because of a reduction in body fat [4]. It is important for healthcare professionals involved in the care of patients with an ileostomy to appreciate that stoma surgery changes the body's usual processes of nutritional absorption and excretion, so that informed support and advice on diet can be provided [5].…”

Section: Introductionmentioning

confidence: 99%

Challenges of Managing Emergency Ileostomy: Nutrition—A Neglected Aspect

Mohil

Narayan

Sreenivas

et al. 2012

ISRN Emergency Medicine

View full text Add to dashboard Cite

Objective. The present study was carried out with an aim to study the nutritional status of patients undergoing emergency ileostomy using simple bedside tools in a developing country. Methods. Nutritional assessment (anthropometry, biochemical, immunological, and dietary) was done within 24-36 hours of admission and 6 weeks postoperatively. Primary endpoint was the study of the nutritional status of the patients with ileostomy. Results. N = 58, 47 males with mean age 32 years. Postoperatively 50 (86.2%) patients experienced some complications including those related to ileostomy. Malnutrition varied from 7 (12.1%) using BMI to 54 (93.1%) by triceps skinfold thickness. At 6 weeks, despite adequate nutritional intake, there was a significant decrease in almost all nutritional parameters except serum albumin which was normal in most patients. Factors contributing to weight loss in 41 (70.7%) patients were decreased length of proximal bowel left (P = 0.001), increased ileostomy output (P = 0.001), delayed surgery (P = 0.004), and increased disease severity score (P = 0.005). Conclusion. Majority of patients undergoing emergency ileostomy were malnourished and had significant nutritional depletion despite adequate nutritional support. Serial assessment helps to assess nutritional recovery in these patients.

show abstract

Providing dietary advice for the individual with a stoma

Cited by 35 publications

References 16 publications

Dietary management in people with an ileostomy: a scoping review protocol

Dietary management in people with an ileostomy: a scoping review protocol

Estado nutricional de pacientes pediátricos ostomizados

Challenges of Managing Emergency Ileostomy: Nutrition—A Neglected Aspect

Contact Info

Product

Resources

About