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Sammanfattning

Intestinal ischemia will affect intestinal function, in most cases through ileocekal resections. Directly post-operative, intestinal losses through stoma can amount to several liters, with a sodium content of approximately 100mmol/l, which has to be substituted by saline with added magnesium. With time stomal losses will decrease, and fluid balance might be kept at bay with oral rehydration solution sipped through the day. Intestinal failure after ischemia will best be rehabilitated by compensatory hyperphagia, including dietary supplements, although this can induce increased effluents. A fat-reduced diet could be indicated if steatorréa is present, but this is seldom the case with an ileo/jenunostoma. In severe cases intestinal failure will require parenteral nutrition support. After ileocekal resection, parenteral vitamin B12 should be given. Supplements including vitamin D, calcium and magnesium should also be given. Optimal rehabilitation after intestinal ischemia requires a team approach with surgeons, gastroenterologists, stoma therapists, nutrition specialists and dieticians.

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