Diarrhoea After Continent Ileostomy

Overview

Journal Gut

Specialty Gastroenterology

Date 1980 Aug 1

PMID 7429335

Citations 13

Authors

D G Kelley

M E Branon

S F Phillips

K A Kelly

Affiliations

Soon will be listed here.

Abstract

To determine the nature and frequency of malabsorption in patients with continent ileostomies, faeces and urine from 42 patients with ileal pouches and from 19 patients with conventional ileostomies were analysed and compared. The patients with conventional ileostomy were matched with patients with ileal pouches. Thirteen of the patients with pouches were found to have excessive faecal volumes which were accompanied by increased faecal losses of electrolytes, nitrogen, and fat, and by decreased vitamin B12 uptake. The remaining patients with continent ileostomies had faecal and urinary outputs which were similar to those of patients with conventional ileostomies. Thus, evidence of malabsorption was found in approximately 30% of this group of patients with continent ileostomies.

Citing Articles

Luminal regulation of Na(+)/H(+) exchanger gene expression in rat ileal mucosa.

Doble M, Tola V, Chamberlain S, Cima R, van Hoek A, Soybel D J Gastrointest Surg. 2002; 6(3):387-95.

PMID: 12022991 DOI: 10.1016/s1091-255x(01)00049-x.

Preoperative perfusion of bypassed ileum does not improve postoperative function.

Miedema B, Kohler L, Smith C, Phillips S, Kelly K Dig Dis Sci. 1998; 43(2):429-35.

PMID: 9512141 DOI: 10.1023/a:1018887212921.

Water and electrolyte balance after ileal J pouch-anal anastomosis in ulcerative colitis and familial adenomatous polyposis.

Okamoto T, Kusunoki M, Kusuhara K, Yamamura T, Utsunomiya J Int J Colorectal Dis. 1995; 10(1):33-8.

PMID: 7745321 DOI: 10.1007/BF00337584.

Preservation of anorectal continence following total colectomy.

Martin L, Fischer J Ann Surg. 1982; 196(6):700-4.

PMID: 7149822 PMC: 1352988. DOI: 10.1097/00000658-198212001-00015.

Physiologic aspects of continence after colectomy, mucosal proctectomy, and endorectal ileo-anal anastomosis.

Heppell J, Kelly K, Phillips S, Beart Jr R, TELANDER R, Perrault J Ann Surg. 1982; 195(4):435-43.

PMID: 7065748 PMC: 1352524. DOI: 10.1097/00000658-198204000-00009.

References

KOCK N . Intra-abdominal "reservoir" in patients with permanent ileostomy. Preliminary observations on a procedure resulting in fecal "continence" in five ileostomy patients. Arch Surg. 1969; 99(2):223-31. DOI: 10.1001/archsurg.1969.01340140095014. View

Jagenburg R, DOTEVALL G, KEWENTER J, KOCK N, Philipson B . Abortion studies in patients with "intraabdominal ileostomy reservoirs" and in patients with conventional ileostomies. Gut. 1971; 12(6):437-41. PMC: 1411676. DOI: 10.1136/gut.12.6.437. View

KOCK N . Continent ileostomy. Prog Surg. 1973; 12:180-201. DOI: 10.1159/000394906. View

BEAHRS O, Kelly K, ADSON M, Chong G . Ileostomy with ileal reservoir rather than ileostomy alone. Ann Surg. 1974; 179(5):634-8. PMC: 1356040. DOI: 10.1097/00000658-197405000-00016. View

Jagenburg R, KOCK N, Philipson B . Vitamin B12 absorption in patients with continent ileostomy. Scand J Gastroenterol. 1975; 10(2):141-4. View