The effect of diet on ileostomy function

Thomson, T J; Runcie, J.; Khan, Anisur Rahman

doi:10.1136/gut.11.6.482

Cited by 29 publications

(19 citation statements)

References 2 publications

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“…Indeed, relatively few of our ileostomy patients noted much effect with fruit, aerated drinks or alcohol, although gaseous drinks sometimes produced excessive wind. This is again in contrast to the finding of Thomson et al (1970) that alcohol increased ileostomy effluent in 23 per cent of patients. Fruit and alcohol certainly have a cathartic action on the colon, as many of our patients found that they produced a loose motion.…”

Section: Ileostomy Patientscontrasting

confidence: 84%

“…It appears from the study of Thomson et al (1970) that patients with ileostomies appear to experience increasing difficulty in choosing a suitable diet some years after a stoma has been fashioned. Women particularly had initial problems in finding a satisfactory diet, but this appeared to improve only to become more difficult again 10 or more years after the ileostomy had been established.…”

Section: Ileostomy Patientsmentioning

confidence: 96%

“…It is not surprising, therefore, that patients with an artificial anus present on the anterior abdominal wall should seek advice about the effects of diet on their stoma action. Although this problem has been investigated previously, the validity of the results of one large survey of ileostomy patients is doubtful as only 20 per cent of the patients responded to the questionnaire (Thomson et al, 1970), and few details of particular foodstuffs causing stoma dysfunction are included in another study of patients with colostomies (Devlin et al, 1971). We have therefore conducted a survey of both ileostomy and colostomy patients to compare and contrast the effects of diet in these two groups.…”

mentioning

confidence: 98%

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Diets and stoma function

Gazzard

Saunders

Dawson

1978

Journal of British Surgery

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Fifty ileostomy and 50 colostomy patients were questioned as to which foods upset their stoma function. Most patients had no problem in finding a suitable diet and 70 per cent would eat any food on occasions, although half the patients found that side effects with particular foods were a nuisance. Only a small range of foodstuffs seemed to produce symptoms in a significant proportion of patients. We feel that no particular foodstuff should be eliminated from a diet without an adequate trial as most patients are able to eat entirely normally.

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Section: Ileostomy Patientscontrasting

confidence: 84%

Section: Ileostomy Patientsmentioning

confidence: 96%

mentioning

confidence: 98%

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Diets and stoma function

Gazzard

Saunders

Dawson

1978

Journal of British Surgery

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“…Of particular note, pungent spices such as black pepper (0.45 g/day) and chili powder (1.5 g/day) did not increase ileostomy output (Kramer 1987). Second, a survey of 5100 patients with ileostomy reported high intra-individual variations in problem-causing foods (Thomson et al 1970), suggesting that the decision on spice inclusion/exclusion should be individualized based on patient tolerance. Third, some spices-such as black pepper, ginger, and red pepper-exhibit anti-ulcerative properties due to their anti-Helicobacter pylori, antioxidative, antisecretory, and cytoprotective effects (Al Mofleh 2010), which may be beneficial to patients suffering from ulcerative colitis.…”

Section: Ulcerative Colitismentioning

confidence: 99%

Chemosensory Properties of Pungent Spices: Their Role in Altering Nutrient Intake

2015

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Background The general population is not compliant with national dietary recommendations for promoting health and reducing chronic disease risk. While rising obesity rates suggest that the majority of the population is overconsuming, many individuals affected with either acute or chronic diseases struggle to maintain adequate dietary intake and are at high nutritional risk. Flavor is the primary driver of food intake; however, disliked flavors are a major barrier to consumer adherence with dietary recommendations for both groups. Spices that contribute to chemical burn-such as black pepper, garlic, ginger, mustard, oregano, red pepper, and wasabi-alter food flavors. Purpose This paper explores the role of these pungent spices in altering nutrient intake across the lifespan. The role of chemical burn in manipulating dietary intake in both diseased and healthy populations is discussed. Application Implications for using pungent spices to enhance compliance with dietary manipulations are described. Proposed functions of pungent spices are maintaining, preserving, and enhancing flavor to offset the reductions in liking and palatability that are associated with dietary modifications and disease status.

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“…Diet should pose few problems (Gazzard et al, 1978;Thomson et al, 1970). Avoidance of foods recognised as causing an increase in ileostomy fluid output such as onions, mushrooms, pineapple, would clearly be sensible before a race but ileostomates eat less vegetables than the general population anyway as they tend to avoid those foods which cause their ileostomy output to increase.…”

Section: Ileostomy Outputmentioning

confidence: 99%

Marathon without a colon: salt and water balance in endurance running ileostomates.

Isaacs¹

1984

Br J Sports Med

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Five trained ileostomates completed a marathon in a cool environment without ill effect. During the race, the ileostomy losses of sodium (1.0-2.7 mmol.h-1 ) and of water (9.2-19 mI.X1 ) were small, but urinary excretion of sodium was very low (0.2-0.75 mmol.hl ) despite drinking a combination of water and glucose-electrolyte solution. The concentration of potassium in the ileostomy discharge tended to increase, also suggesting a sodium retaining state. Healthy ileostomates after suitable training are successful marathon runners, but the prevalence of mild salt depletion in ileostomates generally suggests that it may be advisable for them to take only glucose-electrolyte solutions when competing at any ambient temperature or when preparing for a marathon which is to take place in a warm environment.

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The effect of diet on ileostomy function

Cited by 29 publications

References 2 publications

Diets and stoma function

Diets and stoma function

Chemosensory Properties of Pungent Spices: Their Role in Altering Nutrient Intake

Marathon without a colon: salt and water balance in endurance running ileostomates.

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