Effect of different drinks on fluid and electrolyte losses from a jejunostomy.
The effectiveness of 5 different solutions on the absorption of fluid and electrolytes was tested in 7 patients with a proximal intestinal stoma and large fluid losses, all of whom previously needed intravenous infusions to maintain balance. In 4 patients it proved possible to replace the intravenous infusions with an enteral supplement. The WHO glucose/electrolyte solution without added potassium (NaCl 3.5 g, NaHCO3 2.5 g, glucose 20 g/l) gave satisfactory results, though was slightly less effective than a solution containing more sodium in which maltose was substituted for glucose. Neither sucrose nor an oligosaccharide (Caloreen) gave an advantage over glucose in the formulations used. In 3 patients losses were so great, and absorption of sodium from oral solutions so small, that intravenous supplements had to be continued. These 3 patients could be distinguished from the other 4 by the fact that more than 250 ml emerged from the stoma during the 3 hours after a drink of 500 ml of glucose/electrolyte solution. In all patients a drink of water or tea led to a loss of sodium from the stoma; water should be restricted in such patients and replaced by a glucose/electrolyte solution.
D000284:Administration, Oral; D000293:Adolescent; D000328:Adult; D001639:Bicarbonates / Q000008:administration & dosage; D003912:Dextrins / Q000008:administration & dosage; D004573:Electrolytes / Q000008:administration & dosage; D005260:Female; D005440:Fluid Therapy; D005947:Glucose / Q000008:administration & dosage; D006801:Humans; D007408:Intestinal Absorption; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008320:Maltose / Q000008:administration & dosage; D008875:Middle Aged; D012965:Sodium Chloride / Q000008:administration & dosage; D013395:Sucrose / Q000008:administration & dosage; D014882:Water-Electrolyte Balance
D001639:Bicarbonates; D003912:Dextrins; D004573:Electrolytes; D012965:Sodium Chloride; D013395:Sucrose; D008320:Maltose; C013862:caloreen; D005947:Glucose