An Observation on the Effect of Semi-Elemental Oral Nutritional Supplements on the Reduction of Small Bowel Ostomy Output

Semi-elemental oral nutritional supplements are also referred to the oligomeric, hydrolysed or peptide formula, the nitrogen source of the formulas derived from hydrolyzed oligopeptide of shorter lengths such as the dipeptides and tripeptides. The ingredient of casein and lactaalbumin hydrolysates i...

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Main Authors:	Wong, Michael P.K., MH, Mohd Nizam, Hussin, Hasmah, Zakaria, Andee Dzulkarnaen, W, Zainira, Zakaria, Zaidi, Hassan, Shaban
Format:	Conference or Workshop Item
Published:	2015
Subjects:	RA440-440.87 Study and teaching. Research
Online Access:	http://eprints.usm.my/37332/ http://eprints.usm.my/37332/1/Posterfor2015Coloproctology1.5mHx0.95mW.pdf

id	usm-37332
recordtype	eprints
spelling	usm-373322017-11-07T10:17:17Z An Observation on the Effect of Semi-Elemental Oral Nutritional Supplements on the Reduction of Small Bowel Ostomy Output Wong, Michael P.K. MH, Mohd Nizam Hussin, Hasmah Zakaria, Andee Dzulkarnaen W, Zainira Zakaria, Zaidi Hassan, Shaban RA440-440.87 Study and teaching. Research Semi-elemental oral nutritional supplements are also referred to the oligomeric, hydrolysed or peptide formula, the nitrogen source of the formulas derived from hydrolyzed oligopeptide of shorter lengths such as the dipeptides and tripeptides. The ingredient of casein and lactaalbumin hydrolysates in this formula are believed to be capable of stimulating the jejunal absorption of water and electrolytes. The postulated stimulation of improves absorption increased our curiosity on its effect on those patient with high output ostomy. We understand that this formula is more costly compared to the other polymeric formula available in the market. We would like to share an observation of two ostomies output that are managed conservatively along with the supplementation of a semi-elemental formula. We retrospectively review the case notes of two patients with small bowel ostomies and graphs were plotted to demonstrate the relationship between the output and the intake of the semi-elemental formula. We observed an interesting pattern of the ostomy output in relationship to intake volume. The ostomy output decreases as the patients increase the intake of the semi-elemental formula. From our observation, we concluded that semi-elemental formula improved clinical nutrition outcome and also quality of life in terms of stoma output reduction, making the stoma care more manageable. However, we hope that through our observation case studies, we would encourage more researchers to conduct a larger prospective and clinical study to explore the true clinical effects and also cost-effectiveness of this formula. 2015 Conference or Workshop Item PeerReviewed application/pdf http://eprints.usm.my/37332/1/Posterfor2015Coloproctology1.5mHx0.95mW.pdf Wong, Michael P.K. and MH, Mohd Nizam and Hussin, Hasmah and Zakaria, Andee Dzulkarnaen and W, Zainira and Zakaria, Zaidi and Hassan, Shaban (2015) An Observation on the Effect of Semi-Elemental Oral Nutritional Supplements on the Reduction of Small Bowel Ostomy Output. In: Coloproctology International Scientific Meeting, March 12 - 15, 2015, Melaka, Malaysia. http://eprints.usm.my/37332/
institution	Universiti Sains Malaysia Universiti Sains Malaysia
repository_type	Digital Repository
institution_category	Local University
building	USM Repository
collection	Online Access
topic	RA440-440.87 Study and teaching. Research
spellingShingle	RA440-440.87 Study and teaching. Research Wong, Michael P.K. MH, Mohd Nizam Hussin, Hasmah Zakaria, Andee Dzulkarnaen W, Zainira Zakaria, Zaidi Hassan, Shaban An Observation on the Effect of Semi-Elemental Oral Nutritional Supplements on the Reduction of Small Bowel Ostomy Output
description	Semi-elemental oral nutritional supplements are also referred to the oligomeric, hydrolysed or peptide formula, the nitrogen source of the formulas derived from hydrolyzed oligopeptide of shorter lengths such as the dipeptides and tripeptides. The ingredient of casein and lactaalbumin hydrolysates in this formula are believed to be capable of stimulating the jejunal absorption of water and electrolytes. The postulated stimulation of improves absorption increased our curiosity on its effect on those patient with high output ostomy. We understand that this formula is more costly compared to the other polymeric formula available in the market. We would like to share an observation of two ostomies output that are managed conservatively along with the supplementation of a semi-elemental formula. We retrospectively review the case notes of two patients with small bowel ostomies and graphs were plotted to demonstrate the relationship between the output and the intake of the semi-elemental formula. We observed an interesting pattern of the ostomy output in relationship to intake volume. The ostomy output decreases as the patients increase the intake of the semi-elemental formula. From our observation, we concluded that semi-elemental formula improved clinical nutrition outcome and also quality of life in terms of stoma output reduction, making the stoma care more manageable. However, we hope that through our observation case studies, we would encourage more researchers to conduct a larger prospective and clinical study to explore the true clinical effects and also cost-effectiveness of this formula.
format	Conference or Workshop Item
author	Wong, Michael P.K. MH, Mohd Nizam Hussin, Hasmah Zakaria, Andee Dzulkarnaen W, Zainira Zakaria, Zaidi Hassan, Shaban
author_facet	Wong, Michael P.K. MH, Mohd Nizam Hussin, Hasmah Zakaria, Andee Dzulkarnaen W, Zainira Zakaria, Zaidi Hassan, Shaban
author_sort	Wong, Michael P.K.
title	An Observation on the Effect of Semi-Elemental Oral Nutritional Supplements on the Reduction of Small Bowel Ostomy Output
title_short	An Observation on the Effect of Semi-Elemental Oral Nutritional Supplements on the Reduction of Small Bowel Ostomy Output
title_full	An Observation on the Effect of Semi-Elemental Oral Nutritional Supplements on the Reduction of Small Bowel Ostomy Output
title_fullStr	An Observation on the Effect of Semi-Elemental Oral Nutritional Supplements on the Reduction of Small Bowel Ostomy Output
title_full_unstemmed	An Observation on the Effect of Semi-Elemental Oral Nutritional Supplements on the Reduction of Small Bowel Ostomy Output
title_sort	observation on the effect of semi-elemental oral nutritional supplements on the reduction of small bowel ostomy output
publishDate	2015
url	http://eprints.usm.my/37332/ http://eprints.usm.my/37332/1/Posterfor2015Coloproctology1.5mHx0.95mW.pdf
first_indexed	2018-09-08T09:18:36Z
last_indexed	2018-09-08T09:18:36Z
_version_	1611030401672806400

An Observation on the Effect of Semi-Elemental Oral Nutritional Supplements on the Reduction of Small Bowel Ostomy Output

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