This prospective study aims to characterize the timing and severity of acute fluid and electrolyte losses from defunctioning ileostomies in the early postoperative period.
Alerts clinicians to monitor fluid/electrolytes closely post-ileostomy; leaves open optimal intervention thresholds.
The high volume output of a defunctioning loop ileostomy after rectal excision and anastomosis may lead to severe dehydration and electrolyte imbalance if not properly managed. Although chronic losses may be seen, the early postoperative period remains the most hazardous with regard to acute fluid and electrolyte losses for the patient with a defunctioning ileostomy1–3. A prospective study was therefore conducted to determine the period and severity of excessive ileostomy loss.
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Tang et al. (1995) studied this question.
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