High output ileostomy Ileostomy diarrhea


Ileostomy. Total colectomy and minimal resection of terminal ileum (i.e. 10cm) - ileostomy output: 400-600g/dayLonger resection of terminal ileum -ileostomy output: larger, usually 1000g/day. Pathophysiology(1) . reduced small bowel surface area for absorption of nutrients with more transit of intestinal contentloss of mucosa containing brush border hydrolases affected carbohydrate digestion- non-absorbed sugars- osmotic diarrhea, rarely severe metabolic acidosis (lactobacilli convert the 29827

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High output ileostomy Ileostomy diarrhea

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