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Stoma re-feeding (also known as recycling) is the process of collecting stool (poo) from your baby’s functioning stoma (ileostomy or jejunostomy) and returning it back to your baby via their mucous fistula (non-functioning stoma). This may sound a little scary but ordinarily our poo would travel the whole length of our bowel. In children with stomas, this process is cut short. By re-feeding the stool we can mimic our bowels natural process.
Stoma re-feeding is beneficial for babies with:
Re-feeding the stool from the ileostomy or jejunostomy into the lower bowel allows the nutrients (salts, sugars and potassium) in the stool to be absorbed. It also stimulates the growth of the lower bowel and helps it adapt to processing stool as it normally would.
This is highly beneficial for when your baby is ready to have their stoma closed. If stoma re-feeding is successful, your baby will be able to have more milk feeds and the amount of TPN and other IV fluids will be reduced.
Your baby will either have a stoma bag on their ileostomy or jejunostomy, or a tube inserted into their stoma and another tube passed into their mucous fistula.
Every 2 to 3 hours we will collect the stool from the stoma bag or drainage bag, and either slowly push the stool into the mucous fistula using a syringe or by using the stool collected in a syringe and attaching it to a tube that will then slowly infuse via a pump into the mucous fistula. The stool will travel through the lower end of the bowel to the rectum.
To begin with, the amount of stool re-fed will be 1 to 2mls per hour. If this is tolerated and your baby starts to poo into their nappy, the amount of stool re-fed will be increased. We may do a test before re-feeding called a ‘contrast’ to check there are no blockages in the lower bowel.
There are possible risks and complications to stoma re-feeding. Your baby will be monitored closely and stoma re-feeding will be paused or stopped, with any of the following signs:
Please read our resource for more information about risks of anaesthetics.
Please note: this is a generic information sheet relating to care at Sheffield Children’s NHS FT. These details may not reflect treatment at other hospitals. This information is not intended as a substitute for professional medical care. Always follow your healthcare professionals’ instructions. If this resource relates to medicines, please read it alongside the medicine manufacturer’s patient information leaflet. If this information has been translated into another language from English, efforts have been made to maintain accuracy, but there may still be some translation errors. If you are unsure about any of the guidance in this resource or have specific questions about how it relates to your child, always ask your healthcare professional for further advice.
Resource number: NSU6
Resource Type: Article
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