Systematic review on management of high-output enterostomy in children: An urgent call for evidence.
Thomas F StoopEduard A van BodegravenBritte H E A Ten HaaftFaridi S van Etten-JamaludinSuzanne M C van ZundertCécile LambeMerit M TabbersRamon R GorterPublished in: Journal of pediatric gastroenterology and nutrition (2023)
This first systematic review on management of high-output enterostomy in children revealed that any evidence on the primary and secondary outcomes is lacking. There is an urgent need for evidence on conservative treatment strategies including fluid restrictions, dietary advices, oral rehydration solution, chyme re-infusion, and pharmacological and surgical treatments of high-output enterostomy in children, aiming to reduce the risk for short- and long-term complications. Till more evidence is available, a systematic and multidisciplinary step-up approach is needed. Therefore, a therapeutic work-up is proposed that could guide the care.