Automatic system of continuous re‐infusion into the distal side of ostomy

  • Chiba Fumiko
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Masumoto Kouji
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Nemoto Yuri
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Kawami Akio
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Sasaki Takato
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Jimbo Takahiro
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Shinkai Toko
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba

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Other Title
  • 腸瘻口側腸管排液の肛門側腸管への自動持続注入システム

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Description

The efficacy of re‐infusion of fluids from the oral side to the anal side of an ostomy was recently described in many reports. We created a new system to infuse fluids automatically from the oral side to the anal side and applied it effectively in 4 cases.<br> Outline of the system:Drainage fluid is collected in a bottle from the ostomy pouch and a catheter is inserted into the anal side of the ostomy. Fluids are infused automatically through the tube, which continues from the bottom of the bottle to the catheter in the anal side using an enteral nutrition pump. Enteral feeding formula can also be infused simultaneously into the anal side of the ostomy from a T‐sharp stopcock. The amount of liquid in the bottle is sufficiently controlled. Saline can be added in the case of reduced fluid drainage, whereas excess fluid is removed to avoid the proliferation of bacteria.<br> This system enables continuous infusion easily and stably, and is therefore useful for the re‐infusion of oral side drainage fluid into the anal side of an ostomy.

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