Isotonic solution for management of high output fistula and stoma

Marvin Marino; Yosua Yan  Kristian; Evania Astella  Setiawan; Gabriella Nurahmani  Putri; Pauline Octaviani; Diana Sunardi

doi:10.25220/WNJ.V05.S3.0033

Marvin Marino, MD Universitas Indonesia – Dr. Cipto Mangunkusumo General Hospital http://orcid.org/0000-0002-1621-3655
Yosua Yan Kristian Universitas Indonesia – Dr. Cipto Mangunkusumo General Hospital
Evania Astella Setiawan, MD, MSc Universitas Indonesia – Dr. Cipto Mangunkusumo General Hospital
Gabriella Nurahmani Putri, MD Universitas Indonesia – Dr. Cipto Mangunkusumo General Hospital
Pauline Octaviani, MD Universitas Indonesia – Dr. Cipto Mangunkusumo General Hospital
Diana Sunardi, MD, MSc, PhD Universitas Indonesia – Dr. Cipto Mangunkusumo General Hospital

DOI: https://doi.org/10.25220/WNJ.V05.S3.0033

Keywords: fistula, stoma, isotonic solution

Abstract

Enterocutaneous fistulae (ECF) is a common complication in open abdominal surgeries which is commonly fixed by creating a stoma. High-output ECF defined as production of fistulae more than 500 mL per day. It is one of the complications that can occur in the presence of a stoma, and it is associated with significant morbidity and mortality. Therefore, adequate management of high output ECF and stoma is important. Administration of isotonic solution is one of techniques proven to be beneficial in reducing stoma output and allowing persistent luminal stimulation. We reported a case of high-ileostomy and ECF output in which isotonic solution conveyed improvement in clinical outcome.