Key result
Significant terminal ileum resection resulted in considerably greater daily faecal volumes compared to minimal resection (1202 vs 401 ml, P<0.001).
Why the study?
Does the extent of ileal resection affect ileostomy output volume and electrolyte loss in patients with an established ileostomy?
Population
12 patients with an established ileostomy following proctocolectomy
Comparison
Significant ileal resection vs Minimal ileal resection (<9 cm)
Design
Cohort
Authors
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Extensive ileal resection was associated with higher ileostomy output; extends observational data but leaves open need for prospective confirmation.
Observational (n=12)
Does the extent of ileal resection affect ileostomy output volume and electrolyte loss in patients with an established ileostomy?
Absolute Event Rate: 1202% vs 401%
p-value: p=<0.001
High ileostomy output in patients without other complications is directly related to the amount of ileum resected, leading to significant fluid and electrolyte losses.
Hill et al. (1975) conducted an observational in Established ileostomy following proctocolectomy (n=12). Significant terminal ileum resection (30-120 cm) vs. Minimal terminal ileum resection (<9 cm) was evaluated on Daily faecal volume (p=<0.001). Significant terminal ileum resection resulted in considerably greater daily faecal volumes compared to minimal resection (1202 vs 401 ml, P<0.001).
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