Nutrients
Prospective Evaluation of Individualized Nutrition Support on the Incidence of High-Output Ileostomy
Par Rahel Maria Strobel, Stella Toepfer, Konrad Neumann et 7 autres.
Contenu en anglais
Résumé
Background
Patients with an ileostomy are at risk of developing a high-output ileostomy (HOS). An episode of HOS can lead to dehydration and acute kidney injury (AKI). Existing dietary recommendations are largely based on expert opinion. At Charité—Campus Benjamin Franklin, a new interdisciplinary nutrition concept was developed for patients following ileostomy creation.
Methods
This prospective, single-centre interventional study included adult patients undergoing elective surgery with the creation of an ileostomy between July 2022 and November 2024. The primary outcome was the incidence of post-discharge HOS occurring during the follow-up period. Patients received standardized postoperative meals and individualized dietary counselling. Outcomes were compared to a historical cohort.