The use of Hyoscine (Buscopan) to manage a high-output stoma: A case report
Background: Short bowel syndrome is a common complication from surgery and is characterized by presence of a high-output stoma. Patients may often require parenteral nutrition in order to maintain their nutritional, fluid and/or electrolyte balance. There are national and international guidelines ou...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-01-01
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| Series: | Intestinal Failure |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2950456224000010 |
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| Summary: | Background: Short bowel syndrome is a common complication from surgery and is characterized by presence of a high-output stoma. Patients may often require parenteral nutrition in order to maintain their nutritional, fluid and/or electrolyte balance. There are national and international guidelines outlining pharmacological and dietary strategies to minimize patients’ reliance on parenteral nutrition. Case report: We present a case report of a patient with a high-output stoma for whom all established strategies were ineffective in controlling nutritional and fluid losses. An alternative pharmacological agent – Buscopan, was commenced in addition to usual protocol. Within 48 h of commencing, the patient’s stoma output normalized, and his losses were under control, without the need for parenteral nutrition. Conclusion: A high dose of Buscopan may be a new strategy to be utilized in patients with a high-output stoma. It may be beneficial to consider randomized control trials to assess its effect in high-output stoma management. |
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| ISSN: | 2950-4562 |