About this Journal Submit a Manuscript Table of Contents
ISRN Emergency Medicine
Volume 2012 (2012), Article ID 968023, 6 pages
http://dx.doi.org/10.5402/2012/968023
Research Article

Challenges of Managing Emergency Ileostomy: Nutrition—A Neglected Aspect

1Department of Surgery, Safdarjang Hospital, Dr. V. M. Medical College, New Delhi 110023, India
2Department of Gastroenterology and Human Nutrition, AIIMS, New Delhi 110029, India

Received 1 October 2012; Accepted 1 November 2012

Academic Editors: C. C. Chang, E. De Guise, and S. Di Saverio

Copyright © 2012 Ravindra Singh Mohil et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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. , 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 ( ), increased ileostomy output ( ), delayed surgery ( ), and increased disease severity score ( ). 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.