Factores de riesgo nutricional y recomendaciones para el cuidado nutricional del paciente con ileostomía: una revisión narrativa

Mónica López Talavera

doi:10.35454/rncm.v6n4.530

Autores/as

Mónica López Talavera Independiente https://orcid.org/0000-0001-5629-5774

DOI:

https://doi.org/10.35454/rncm.v6n4.530

Palabras clave:

Ileostomía, Estoma de alto gasto, Malnutrición, Riesgo nutricional, Cuidado nutricional

Resumen

Actualmente hay poca evidencia para el manejo del paciente con ileostomía y su cuidado nutricional. Se sabe que es una población que se encuentra en riesgo nutricional por la alteración de absorción de nutrientes, el desarrollo de estomas de alto gasto, la percepción del paciente de los efectos de ciertos alimentos, las restricciones recomendadas y la funcionalidad; esto repercute de forma importante en el estado nutricional. Las recomendaciones actuales se enfocan en desde el diseño de la terapia nutricional, el manejo y monitorización de su implementación. Por tanto, el objetivo de esta revisión es identificar los factores de riesgo nutricional, así como las recomendaciones actuales para el manejo nutricional de pacientes con ileostomía.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Moraes JT, Melo AFF, Araújo C, Faria RDGS, Ferreira NR, Belo VS. Anthropometric and dietetic evaluation of people with ileostomies. Arq Gastroenterol. 2019;56(1):34-40. doi: 10.1590/S0004-2803.201900000-07

Ma H, Li X, Yang H, Qiu Y, Xiao W. The Pathology and Physiology of Ileostomy. Front Nutr. 2022;9:842198. doi: 10.3389/fnut.2022.842198

de Oliveira AL, Boroni Moreira AP, Pereira Netto M, Gonçalves Leite IC. A Cross-sectional Study of Nutritional Status, Diet, and Dietary Restrictions Among Persons With an Ileostomy or Colostomy. Ostomy Wound Manage. 2018;64(5):18-29.

Seifarth C, Augustin LN, Lehmann KS, Stroux A, Lauscher JC, Kreis ME, et. al. Assessment of Risk Factors for the Occurrence of a High-Output Ileostomy. Front Surg. 2021;8:642288. doi: 10.3389/fsurg.2021.642288

Claessens I, Tielemans C, Nilsson C, Storling Z, Probert R, Hansen A, et al. The Ostomy Life Study: The everyday challenges faced by people living with a stoma in a snapshot. Gastrointestinal Nursing. 2015;13(5):18-25. doi: 10.12968/gasn.2015.13.5.18

Malik T, Lee MJ, Harikrishnan AB. The incidence of stoma related morbidity - a systematic review of randomised controlled trials. Ann R Coll Surg Engl. 2018;100(7):501-8. doi: 10.1308/rcsann.2018.0126

Santamaría MM, Villafranca JJA, Abilés J, Ruiz Fr, Navarro PU, Goitia BT. Impact of a nutrition consultation on the rate of high output stoma-related readmission: an ambispective cohort study. Scientific Reports. 2021;11(1):16620. doi: 10.1038/s41598-021-96136-7

Rowe KM, Schiller LR. Ileostomy diarrhea: Pathophysiology and management. Proc (Bayl Univ Med Cent). 2020;33(2):218-226. doi: 10.1080/08998280.2020.1712926

Crawford N, Brooke BN. Ileostomy chemistry. Lancet. 1957;272(6974):864–867. doi: 10.1016/S0140-6736(57)91394-6

Hill GL, Millward SF, King RF, Smith RC. Normal ileostomy output: close relation to body size. BMJ. 1979;2(6194):831-2. doi: 10.1136/bmj.2.6194.831-a

Migdanis A, Koukoulis G, Mamaloudis I, Baloyiannis I, Migdanis I, Vagena X, et al. The effect of a diverting ileostomy formation on nutritional status and energy intake of patients undergoing colorectal surgery. Clin Nutr ESPEN. 2020;40:357-362. doi: 10.1016/j.clnesp.2020.08.002

Vasilopoulos G, Makrigianni P, Polikandrioti M, Tsiampouris I, Karayiannis D, Margari N, et al. Pre- and Post-Operative Nutrition Assessment in Patients with Colon Cancer Undergoing Ileostomy. Int J Environ Res Public Health. 2020;17(17):6124. doi: 10.3390/ijerph17176124

Nightingale JMD. How to manage a high-output stoma. Frontline Gastroenterol. 2022;13(2):140-151. doi: 10.1136/flgastro-2018-101108

Arenas Villafranca JJ, López-Rodríguez C, Abilés J, Rivera R, Gándara Adán N, Utrilla Navarro P. Protocol for the detection and nutritional management of high-output stomas. Nutr J. 2015;14:45. doi: 10.1186/s12937-015-0034-z

Moreno Santa María M, Arenas Villafranca JJ, Abilés J, Faus Felipe V, Utrilla Navarro P, Tortajada Goitia B. Assessment of the importance of ostomy patients’ understanding of dietary and lifestyle recommendations. Nutr Hosp. 2022;39(3):610-614. doi: 10.20960/nh.03906

Takeda M, Takahashi H, Haraguchi N, Miyoshi N, Hata T, Yamamoto H, et al. Factors predictive of high-output ileostomy: a retrospective single-center comparative study. Surg Today. 2019;49(6):482-487. doi: 10.1007/s00595-018-1756-2

Fiorindi C, Luceri C, Dragoni G, Piemonte G, Scaringi S, Staderini F, et al. GLIM Criteria for Malnutrition in Surgical IBD Patients: A Pilot Study. Nutrients. 2020;12(8):2222. doi: 10.3390/nu12082222

Vienna declaration: Nutritional care is a human right [Internet]. Viena: ESPEN; 2022 [consultado el 26 de marzo de 2023]. Disponible en: https://www.espen.org/espen/vienna-declaration-nutritional-care-is-a-human-right

Cárdenas Braz D, Bermúdez C, Echeverri S, Pérez A, Puentes M, Lopez L, et al. Declaración Internacional sobre el Derecho al Cuidado Nutricional y la Lucha contra la Malnutrición: Declaración de Cartagena. Rev Nutr Clín Metab. 2019;2(Supl 1):14-23. doi: 10.35454/rncm.v2supl1.015

Serón-Arbeloa C, Labarta-Monzón L, Puzo-Foncillas J, Mallor-Bonet T, Lafita-López A, Bueno-Vidales N, et al. Malnutrition Screening and Assessment. Nutrients. 2022;14(12):2392. doi: 10.3390/nu14122392

Cederholm T, Jensen GL, Correia MITD, Gonzalez MC, Fukushima R, Higashiguchi T, et al. GLIM Core Leadership Committee; GLIM Working Group. GLIM criteria for the diagnosis of malnutrition - A consensus report from the global clinical nutrition community. Clin Nutr. 2019;38(1):1-9. doi: 10.1016/j.clnu.2018.08.002

Michońska I, Polak-Szczybyło E, Sokal A, Jarmakiewicz-Czaja S, Stępień AE, Dereń K. Nutritional Issues Faced by Patients with Intestinal Stoma: A Narrative Review. J Clin Med. 2023;12(2):510. doi: 10.3390/jcm12020510

Toledano S, Sackey J, Willcutts K, Parrott JS, Tomesko J, Al-Mazrou AM, et al. Exploring the Differences Between Early and Traditional Diet Advancement in Postoperative Feeding Outcomes in Patients With an Ileostomy or Colostomy. Nutr Clin Pract. 2019;34(4):631-8. doi: 10.1002/ncp.10245

Akbulut G. Nutrition in Stoma Patients: A Practical View of Dietary Therapy. International J Hematol Oncol. 2011;21(1):61-6. doi: 10.4999/uhod.10082

Liu C, Bhat S, Sharma P, Yuan L, O’Grady G, Bissett I. Risk factors for readmission with dehydration after ileostomy formation: A systematic review and meta-analysis. Colorectal Dis. 2021;23(5):1071-1082. doi: 10.1111/codi.15566

Nagle D, Pare T, Keenan E, Marcet K, Tizio S, Poylin V. Ileostomy pathway virtually eliminates readmissions for dehydration in new ostomates. Dis Colon Rectum. 2012;55(12):1266-72. doi: 10.1097/DCR.0b013e31827080c1

Iqbal A, Raza A, Huang E, Goldstein L, Hughes SJ, Tan SA. Cost Effectiveness of a Novel Attempt to Reduce Readmission after Ileostomy Creation. JSLS. 2017;21(1):e2016.00082. doi: 10.4293/JSLS.2016.00082

Klek S, Forbes A, Gabe S, Holst M, Wanten G, Irtun Ø, et al. Management of acute intestinal failure: A position paper from the European Society for Clinical Nutrition and Metabolism (ESPEN) Special Interest Group. Clin Nutr. 2016;35(6):1209-18. doi: 10.1016/j.clnu.2016.04.009

Cooper G, Chiang P. Management of a High Output Ileostomy - An Evidence Based Review of Current Clinical Practice. Int J Med Rev Case Rep. 2021;5(7):7-12. doi: 10.5455/IJMRCR.High-Output-Ileostomy

Cuerda C, Pironi L, Arends J, Bozzetti F, Gillanders L, Jeppesen PB, et al. ESPEN practical guideline: Clinical nutrition in chronic intestinal failure. Clin Nutr. 2021;40(9):5196-220. doi: 10.1016/j.clnu.2021.07.002

Mitchell A, Perry R, England C, Searle A, Atkinson C. Dietary management in people with an ileostomy: a scoping review protocol. JBI Database System Rev Implement Rep. 2019;17(2):129-36. doi: 10.11124/JBISRIR-2017-003764

Matsuzawa H, Munakata S, Kawai M, Sugimoto K, Kamiyama H, Takahashi M, et al. Analysis of ileostomy stool samples reveals dysbiosis in patients with high-output stomas. Biosci Microbiota Food Health. 2021;40(3):135-143. doi: 10.12938/bmfh.2020-062

Chandankhede SR, Kulkarni AP. Acute Intestinal Failure. Indian J Crit Care Med. 2020;24(Suppl 4):S168-S174. doi: 10.5005/jp-journals-10071-23618

Diet guidelines for people with an ileostomy [Internet]. Memorial Sloan Kettering Cancer Center; 2022 [consultado el 26 de marzo de 2023]. Disponible en:https://www.mskcc.org/pdf/cancer-care/patient-education/diet-guidelines-people-ileostomy

Eating with an ostomy: A Comprehensive Nutrition Guide for Those Living with an Ostomy [Internet]. Estados Unidos: UOAA; 2020 [consultado el 26 de marzo de 2023]. Disponible en: https://www.ostomy.org/wp-content/uploads/2022/02/Eating_with_an_Ostomy_2022-02.pdf

Bischoff SC, Escher J, Hébuterne X, Kłęk S, Krznaric Z, Schneider S, et al. ESPEN practical guideline: Clinical Nutrition in inflammatory bowel disease. Clin Nutr. 2020;39(3):632-653. doi: 10.1016/j.clnu.2019.11.002

Wilkinson-Smith VC, Major G, Ashleigh L, Murray K, Hoad CL, Marciani L, et al. Insights Into the Different Effects of Food on Intestinal Secretion Using Magnetic Resonance Imaging. JPEN J Parenter Enteral Nutr. 2018;42(8):1342-1348. doi: 10.1002/jpen.1157

Diet and nutrition when you have an ileostomy [Internet]. St. Joseph’s Healthcare Hamilton; 2013 [consultado el 26 de marzo de 2023]. Disponible en: https://rb.gy/qy19o

Pérez Lizaur AB, Palacios González B. Sistema Mexicano de Alimentos Equivalentes. México: Cuadernos de Nutrición (Fomento de Nutrición y Salud); 2022.