The Clinical Application of Digestive Fluid Reinfusion Technology in the Nutritional Management of Patients With High-Output Ostomies and Fistulas: A Multiple Case Series.

BACKGROUND

Patients with high-output ostomies and fistulas face a significant risk of severe complications such as electrolyte imbalances and renal failure secondary to substantial loss of gastrointestinal fluid. Consequently, these patients present considerable challenges for wound, ostomy, and continence (WOC) nurses.

CASES: We report 5 cases of high-output intestinal stomas and 1 case of enteric fistula resulting from gastrointestinal complications following abdominal surgery. An integrated care plan was developed for each patient, which included continuous nutritional assessments to monitor their nutritional interventions based on their evolving needs. A regimen combining enteric fluid reinfusion with total parenteral nutrition and enteral nutrition preparations was employed. The management of ostomy pouch systems, nutritional tubes at the stoma site, and the peristomal skin was conducted by WOC nurses. Additionally, our WOC nurses participated in formulating a comprehensive follow-up plan for the patients after discharge.

CONCLUSION

Under the meticulous treatment and care provided by the team, the nutritional status of the 6 patients gradually improved. The end result was the successful re-anastomosis for patients with ostomies and a smooth recovery and discharge for the patient with an enteric fistula.