Mackowski Alicia, Chen Han-Kuang, Levitt Michael
St John of God Subiaco Hospital, Subiaco, Western Australia, Australia.
BMJ Case Rep. 2015 Apr 22;2015:bcr2015209411. doi: 10.1136/bcr-2015-209411.
High-stoma output is a common problem that can lead to dehydration and electrolyte disturbance. The following report describes three patients with end ileostomy who had high-stoma outputs where conventional medical management was unsuccessful in controlling stoma output. All three patients responded to high-dose loperamide, resulting in significant clinical improvement. High-dose loperamide therapy should be considered in patients with high-stoma output who have failed conventional medical management.