Prophylactic use oral rehydration solution to prevent high stoma output after ileostomy A Randomised Controlled Trial

An ileostomy is a common surgical procedure after major colorectal resections. This is done in patients who are unsuitable for anastomosis or as a covering procedure to protect a fragile anastomosis. One of the most common complications of ileostomy is a high stoma output. High-output stoma can lead to dehydration, electrolyte imbalance, renal impairment and readmission. Oral rehydration solution (ORS) is widely used to treat dehydration and high stoma output.

In our study, we look at the prophylactic use of ORS solution administration to prevent high output stoma and its complications in patients with an ileostomy creation. All consenting patients who have an ileostomy created will be included. Patients will be

randomised into two groups postoperatively in the postoperative period. One group of patients will receive 1 litre of prophylactic ORS solution per day, in addition to a normal diet, in the immediate postoperative period for 4 weeks, and the other group will receive routine care. Incidence of high output stoma, dehydration, electrolyte imbalance and readmission will be recorded in both groups. Patients will be contacted at 2, 3 and 4 weeks (in person or telephonic), and blood tests will be done at week 3. Both groups will be followed up for 4 weeks.