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- Title
Metabolism of body water and electrolytes after surgery for ulcerative colitis: Conventional ileostomy versus J pouch.
- Authors
Christie, P. M.; Knight, G. S.; Hill, G. L.
- Abstract
Some authorities believe that patients with conventional ileostomies are chronically water and salt depleted but there are no data on the metabolism of body water and electrolytes after ileoanal J pouch. To clarify the situation we studied the body composition of 14 patients with well functioning ileostomies and 20 patients with well functioning J pouches. Both groups were compared with two closely matched control groups. Body weight, total body fat, fat-free mass, total body water and extracellular water were measured by neutron activation analysis, tritiated water and bromide dilution respectively; 24-h collections of urine and stool were analysed for volume and electrolyte content. The results show that the body content of water and extracellular fluid in ileostomy patients and J pouch patients is normal. The faecal volume and chemistry is similar in both groups resulting in a similar and significant degree of urinary sodium retention.
- Publication
British Journal of Surgery, 1990, Vol 77, Issue 2, p149
- ISSN
0007-1323
- Publication type
Article
- DOI
10.1002/bjs.1800770211