Dehydration is a major problem of high output stoma with a 17% rate of readmission at 30 days. Dehydratations are resulting of significant electrolyte loss: sodium, potassium and renal failure. Nowadays, there are no recommendations nor national nor international for high output ileostomy treatment. Apart from the anti-diarrhea treatments used in current practice, somatostatin analogs have proven efficacy in the literature. Theses analogs permit to decrease significantly gastrointestinal secretions. Several teams use these analogs in order to decrease the flow of highly productive ileostomy. The aim of the study is to evaluate the efficacy first line treatment with lanreotide associated with current anti-diarrheal treatment for patients with high output ileostomy (or greater throughput 1.5l / 24h) with or without associated dehydration
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
19
Hôpital Jean Minjoz - Service de Chirurgie Digestive
Besançon, France
Hôpitaux Civils de Colmar - Service de Chirurgie Digestive
Colmar, France
Hopital du Bocage - CHU Dijon- Service de Chirurgie Digestive
Dijon, France
Hôpital Emile MULLER - Service de Chirurgie Digestive
Mulhouse, France
CHU Robert Debré Service de chirurgie générale, digestive et endocrinienne
Reims, France
Hôpital de Hautepierre-Service de Chirurgie Digestive
Strasbourg, France
Number of ileostomy bags used per day
Time frame: 72 hours
Number of ileostomy bags used per day
Time frame: from Day 0 to Day 6
Blood urea and creatinine rates
Time frame: every 2 days until Day6 (Day 0, Day 2, Day 4, Day 6)
Length of stay
Time frame: duration of hospital stay, an expected average of 6 days
Serious adverse events
Time frame: Day 0, Day 1 Day 2, Day3, Day 4, Day 5, Day 6, 1 month
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