Management of Nutrition and Fluid Losses in the Setting of High Output Duodenostomy

Authors

Jazmine Skala-Wade, Corewell Health East Resident
Roy Soto, Corewell Health East

Document Type

Conference Proceeding

Publication Date

10-11-2025

Abstract

Presenting a 61 y.o. female with a PMH of BPD2, who presented as a trauma after jumping from overpass and underwent an emergent laparotomy for duodenal perforation. The duodenal perforation was repaired with a lateral tube duodenostomy placed at the second part of the duodenum. The patient's duodenostomy output acutely and significantly increased with bilious and nasogastric tube feed within 24 hours. She decompensated due to hypovolemic shock from high enteral losses from the duodenostomy tube. Duodenal absorption of fluid is crucial for maintaining hydration and electrolyte balance. I will present nutrition, fluid management and repletion in the setting of high duodenostomy output.

Comments

American Society of Anesthesiologists, The Anesthesiology Annual Meeting, October 10-14, 2025, San Antonio, TX

Recommended Citation

Skala-Wade J, Soto R. Management of nutrition and fluid losses in the setting of high output duodenostomy. Presented at: American Society of Anesthesiologists, The Anesthesiology Annual Meeting; 2025 Oct 11; San Antonio, TX. Available from:https://www.abstractsonline.com/pp8/#!/21028/presentation/8483