Tenckhoff catheter administration of intraperitoneal fluid and electrolytes for long-term management of intractable ileostomy diarrhea: a case report.
Often, maintenance of fluid and electrolyte homeostasis is the most challenging dilemma posed by short bowel syndrome. This report describes the management of a patient with intractable, dehydrating, salt-wasting diarrhea after small and large bowel resection for Crohn's disease complicated by rectal cancer. Intraperitoneal fluid and electrolyte therapy delivered through a Tenckhoff catheter was used to achieve long-term outpatient stability without chronic intravenous therapy. The concept of intraperitoneal fluid and electrolyte therapy is discussed and its potential role in the treatment of short bowel syndrome is described.
D000328:Adult; D002404:Catheterization; D003967:Diarrhea / Q000188:drug therapy*; D004573:Electrolytes / Q000627:therapeutic use*; D005440:Fluid Therapy; D006801:Humans; D007081:Ileostomy; D008286:Malabsorption Syndromes / Q000628:therapy*; D008297:Male; D010529:Peritoneal Cavity; D012778:Short Bowel Syndrome / Q000628:therapy*
D004573:Electrolytes