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Challenges of Managing Emergency Ileostomy : Nutrition—A Neglected Aspect
Joint Authors
Mohil, Ravindra Singh
Bansal, Abhinav
Singh, Gulshan Jit
Singh, Namrata
Narayan, Nitisha
Sreenivas, S.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-12-04
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Mohil, Ravindra Singh& Narayan, Nitisha& Sreenivas, S.& Singh, Namrata& Bansal, Abhinav& Singh, Gulshan Jit. 2012. Challenges of Managing Emergency Ileostomy : Nutrition—A Neglected Aspect. ISRN Emergency Medicine،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-512167
Modern Language Association (MLA)
Mohil, Ravindra Singh…[et al.]. Challenges of Managing Emergency Ileostomy : Nutrition—A Neglected Aspect. ISRN Emergency Medicine No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-512167
American Medical Association (AMA)
Mohil, Ravindra Singh& Narayan, Nitisha& Sreenivas, S.& Singh, Namrata& Bansal, Abhinav& Singh, Gulshan Jit. Challenges of Managing Emergency Ileostomy : Nutrition—A Neglected Aspect. ISRN Emergency Medicine. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-512167
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-512167