My sister had a colostomy very high in the intestine. The result is permanent diarrhea because the food is not yet solid. It also prevents her body to be hydrated. She is very thin and dehydrated. Is there anything for this condition?
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- Fri, 12/9/11 - 1:09pm
- 3 Comments
- 1707 reads
I have a patient who had a failed mesh placement and a panniculectomy and who has developed at least three separate fistulas with a very large amount of output (3-4 L/24 hrs). Any suggestions? I am using an Eakin wound management pouch hooked up to wall suction.
How long has it been since the original operation?
Is the patient on TPN?
Is the patient on octreotide?
What do the GI contrast studies reveal about the fistulae? Are they in the same region different regions of the bowel?
Are you giving tropic tube feeding, I.e. impact type formula?
Reply to this comment »I assume you are looking for a wound manager. I have used the coloplast wound & Fistula manager with very good results. It comes in three sizes and has a removable lid which allowed us to place a wet to dry dressing in the wound and still manage the high output fistula drainage. The Coloplast fistula manager can be hooked up to a cather bag so you dont have to worry about the dressing becoming too full. I have had very good results with this dressing and highly recomend it.
Reply to this comment »I agree witht his assessment as well. then you can d/c the patient to a SNF or HHC.
Reply to this comment »The staff will need training on application. They have a video I have used to train staff.
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