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.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Beahrs O. H., Kelly K. A., Adson M. A., Chong G. C. Ileostomy with ileal reservoir rather than ileostomy alone. Ann Surg. 1974 May;179(5):634–638. doi: 10.1097/00000658-197405000-00016. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gadacz T. R., Kelly K. A., Phillips S. F. The continent ileal pouch: absorptive and motor features. Gastroenterology. 1977 Jun;72(6):1287–1291. [PubMed] [Google Scholar]
- Halvorsen J. F., Heimann P., Hoel R., Nygaard K. The continent reservoir ileostomy: review of a collective series of thirty-six patients from three surgical departments. Surgery. 1978 Mar;83(3):252–258. [PubMed] [Google Scholar]
- Hill G. L., Mair W. S., Goligher J. C. Cause and management of high volume output salt-depleting ileostomy. Br J Surg. 1975 Sep;62(9):720–726. doi: 10.1002/bjs.1800620912. [DOI] [PubMed] [Google Scholar]
- Jagenburg R., Dotevall G., Kewenter J., Kock N. G., Philipson B. Abortion studies in patients with "intraabdominal ileostomy reservoirs" and in patients with conventional ileostomies. Gut. 1971 Jun;12(6):437–441. doi: 10.1136/gut.12.6.437. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jagenburg R., Kock N. G., Philipson B. Vitamin B12 absorption in patients with continent ileostomy. Scand J Gastroenterol. 1975;10(2):141–144. [PubMed] [Google Scholar]
- Kock N. G. Continent ileostomy. Prog Surg. 1973;12:180–201. doi: 10.1159/000394906. [DOI] [PubMed] [Google Scholar]
- Kock N. G. Intra-abdominal "reservoir" in patients with permanent ileostomy. Preliminary observations on a procedure resulting in fecal "continence" in five ileostomy patients. Arch Surg. 1969 Aug;99(2):223–231. doi: 10.1001/archsurg.1969.01340140095014. [DOI] [PubMed] [Google Scholar]
- Nilsson L. O., Andersson H., Hultén L., Jagenburg R., Kock N. G., Myrvold H. E., Philipson B. Absorption studies in patients six to 10 years after construction of ileostomy reservoirs. Gut. 1979 Jun;20(6):499–503. doi: 10.1136/gut.20.6.499. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schjonsby H., Halvorsen J. F., Hofstad T., Hovdenak N. Stagnant loop syndrome in patients with continent ileostomy (intra-abdominal ileal reservoir). Gut. 1977 Oct;18(10):795–799. doi: 10.1136/gut.18.10.795. [DOI] [PMC free article] [PubMed] [Google Scholar]