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SAM in a child with ileostomy

This question was posted the Management of wasting/acute malnutrition forum area and has 2 replies.

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Emma Cartmell


Normal user

22 Jun 2020, 12:21

Does anyone have experience with children with SAM and ileostomy? what feeds can be used? At present he is receiving F75 but it just pours out of the ileostomy. We are limited as to what is available but would be happy to hear suggestions

Michael Krawinkel


Normal user

22 Jun 2020, 15:02

If the gut mucosa is not affected by an inflammation I would suggest to try F-100 and if it is tolerated even F-135. Include the amount of the losses in the calculated input. Is there a possibility to transfer the losses of the ileostomy to an eventually remaining part of the colon the content of the bags should be filled into the colostomy. - You see it is difficult to advise without further information about the patient, but you are welcome to continue with questions. The case is probably challenging even for a paediatric gastroenterologist.


Normal user

23 Jun 2020, 14:05

Dear Emma,

Please can you kindly provide some more detail on this child. Age, current weight, how long he has been eating and whether he had been fed something else. 


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