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The use of Hyoscine (Buscopan) to manage a high-output stoma: A case report
Andriana Petrova1, Chloe Lauffer1, Victoria Shard1
1North Middlesex University Hospital NHS Trust, United Kingdom.
Background:
Short bowel syndrome is a common complication from surgery and is characterized by presence of a high-output stoma. Patients may often require parenteral nutrition in order to maintain their nutritional, fluid and/or electrolyte balance. There are national and international guidelines outlining pharmacological and dietary strategies to minimize patients' reliance on parenteral nutrition.
Case Report:
We present a case report of a patient with a high-output stoma for whom all established strategies were ineffective in controlling nutritional and fluid losses. An alternative pharmacological agent - Buscopan, was commenced in addition to usual protocol. Within 48 h of commencing, the patient's stoma output normalized, and his losses were under control, without the need for parenteral nutrition.
Conclusion:
A high dose of Buscopan may be a new strategy to be utilized in patients with a high-output stoma. It may be beneficial to consider randomized control trials to assess its effect in high-output stoma management.
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