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Renal Dietary Management of a Patient With a High-Output Ileostomy and Kidney Disease: A Case Study

  • Jessica Budd
    Affiliations
    Dietetic and Nutrition Department, Nottingham University Hospitals, NHS Trust, Nottingham, Nottinghamshire, United Kingdom
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  • Bruno Mafrici
    Correspondence
    Address correspondence to Bruno Mafrici, MSc, Dietetic and Nutrition Department, Nottingham University Hospitals, NHS Trust Hucknull Road, Nottingham, Nottinghamshire NG5 1PB, United Kingdom.
    Affiliations
    Dietetic and Nutrition Department, Nottingham University Hospitals, NHS Trust, Nottingham, Nottinghamshire, United Kingdom
    Search for articles by this author
Published:February 01, 2022DOI:https://doi.org/10.1053/j.jrn.2022.01.006
      This case study highlighted key dietetic aspects in the management of a polymorbid oncology patient with kidney disease and high-stoma output and how these made significant contributions toward the patient’s clinical outcomes and quality of life. Studies have shown that ileostomy formation is independently associated with kidney injury due to an increased risk of dehydration through a high-stoma output. Treatment of high-output ileostomy includes correcting fluid, sodium depletion, and any other electrolyte abnormalities as well as appropriate pharmaceutical intervention. Nutritional advice is also central toward a successful management of high-stoma output and should not be overlooked. The case study underlines the role of education within the multidisciplinary team and the importance of patient-centered care provided by timely renal dietetic intervention.

      Keywords

      AKI; CKD; ileostomy; cancer; diet; fluid; dietitian
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