High Output Stoma - Diagnosis and Management
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High Output Stoma - Diagnosis and Management
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The definition, diagnosis, and initial medical management of a high-output stoma (HOS) follow a structured, multi-disciplinary approach intended to address life-threatening fluid and electrolyte imbalances.
Definition of High-Output Stoma (HOS)
A high-output stoma is a serious complication most frequently associated with jejunostomies and proximal ileostomies. It can result in severe dehydration, electrolyte depletion, and renal failure.
HOS is formally defined as an output exceeding 1500–2000 ml per day for consecutive days. However, clinical concern should be raised if output persistently exceeds 1000ml/24h, particularly if biochemical abnormalities are present.
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Disclaimer: This is only for reference, please refer to local guidelines and protocols in clinical practice.
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