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Scholars Journal of Applied Medical Sciences | Volume-8 | Issue-11
Pattern of Fluid and Electrolyte Imbalance in Early Postoperative Period Following Temporary Ileostomy
Dr. ASM Rezbanul Haque, Dr. Md. Forhad Hossain, Dr. Md. Firoz Mia, Dr. Ismat Ara, Dr. Samina Tasnim, Dr. Md. Anisur Rahman, Dr. Md. Mahfuzul Haque, Dr. Bablu Kumar Saha
Published: Nov. 9, 2020 |
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DOI: 10.36347/sjams.2020.v08i11.006
Pages: 2467-2471
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Abstract
Background: There are complications of ileostomy development, including fluid and electrolyte imbalance. Although predictors of high morbidity have been established by studies, readmission rates remain high. Objective: In this study, our main goal is to evaluate the patter of fluid and electrolyte imbalance in the early postoperative period of a temporary ileostomy. Method: This retrospective study was conducted at a tertiary medical college and hospital from January 2017 to December 2019. A total of 120 patients with ileostomy creation, were included in this study. We obtained the medical records and compiled data of the patients admitted to the hospital. Results: In this study, 60% of patients were male and 40% were female. Maximum (40%) patients were between 40-49 years of age group. Among 120 patients, 49 were readmitted due to fluid and electrolyte abnormalities and 27 were readmitted due to other diagnoses. Only the use of antidiarrheals and neoadjuvant therapy remained important after multivariate review. Conclusion: Our study concluded that the use of a patient should be carefully checked at home postoperatively. Our study also recommends the thought of shirking of ileostomy creation or diverse release standards for patients at risk. Postoperative findings showed that stoma checking after release may help decrease rehospitalizations for liquid and electrolyte anomalies after ileostomy creation. Antidiarrheals might be a marker for patients in danger for patter fluid and electrolyte imbalance.