title: [High output stoma: detection and approach].
abstract: High output stoma is a frequent complication in patients with ileostomies that is not well identified and is not often properly addressed by clinicians. It has not been described properly, and can vary between debits of 2.000ml in 24 h to 1.500 ml in 3-5 days, according to different authors. Frequently presents both short-term and long-term negative implications for patients and is associated with readmissions. We present a review of published literature focusing in surgical resection-related factors that influence a later appearance of this complication, causes involved in its development, the need to establish a clear and objective concept of high ouput as well as the negative implications it presents. Also we develop how should we the management of these patients regarding treatment and nutritional approach.
authors.affiliation: Área de Farmacia y Nutrición. Hospital Costa del Sol, Marbella. Málaga.. jjavier.arenas@gmail.com.
authors.forename: Jose Javier
authors.initials: JJ
authors.lastname: Arenas Villafranca
authors.affiliation: Área de Farmacia y Nutrición. Hospital Costa del Sol, Marbella. Málaga.. jjavier.arenas@gmail.com.
authors.forename: Jimena
authors.initials: J
authors.lastname: Abilés
authors.affiliation: Área de Cirugía general y del aparato digestivo. Hospital Costa del Sol, Marbella. Málaga.. jjavier.arenas@gmail.com.
authors.forename: Gloria
authors.initials: G
authors.lastname: Moreno
authors.affiliation: Área de Farmacia y Nutrición. Hospital Costa del Sol, Marbella. Málaga.. jjavier.arenas@gmail.com.
authors.forename: Begoña
authors.initials: B
authors.lastname: Tortajada Goitia
authors.affiliation: Departamento de Farmacología, Universidad de Granada. España.. jjavier.arenas@gmail.com.
authors.forename: Pilar
authors.initials: P
authors.lastname: Utrilla Navarro
authors.affiliation: Área de Farmacia y Nutrición. Hospital Costa del Sol, Marbella. Málaga.. jjavier.arenas@gmail.com.
authors.forename: Norberto
authors.initials: N
authors.lastname: Gándara Adán
mesh_terms: D006801:Humans; D007081:Ileostomy / Q000009:adverse effects*; D008275:Magnesium Deficiency / Q000209:etiology / Q000628:therapy; D009748:Nutrition Disorders / Q000209:etiology* / Q000628:therapy*; D018529:Nutritional Support / Q000379:methods*; D011183:Postoperative Complications / Q000175:diagnosis* / Q000628:therapy*