A year later, the patient's loop jejunostomy was closed and an end ileostomy fashioned, ... Diagnosis High-output stoma with malabsorption as a consequence of repeated small-bowel surgery.

High-Output Stoma After Small-Bowel Resections for Crohn's Disease Stephen KK Tsao; ... The concentration of sodium in jejunostomy fluid is about 100 mM (range 90-140 mM).

In general, patients with a jejunostomy and less than 100 cm of remaining functioning small bowel are likely to need parenteral nutrition. For those with 100-200 cm, often an oral glucose-saline ...

1. Teach the patient the necessary skills to enable him/her to manage the stoma independently. Rationale: To prepare the patient for independent management of the stoma. 2. Identify with the patient a ...