Management of ketogenic diet therapy in patients with ileostomy: A report of 2 cases.
Braden J Baker, Abigail E Olbina, Marissa A Godfrey et al.
✦ AI-curated · Sources linked
Case in brief
This case series discusses two pediatric patients with medication-resistant epilepsy who underwent ketogenic diet therapy (KDT) while managing ileostomies. The first patient had an ileostomy placed during KDT, requiring increased fluids and electrolytes, while the second had the ileostomy prior to starting KDT, experiencing initial hyponatremia and acidosis. Both patients achieved normal laboratory values with monitoring and supplementation, maintaining hydration and seizure control.
Diagnostic / clinical pearl
Clinicians should be aware that ketogenic diet therapy can be safely implemented in pediatric patients with ileostomies, provided there is careful monitoring of hydration and electrolyte levels.
Why it matters
This case highlights the importance of individualized management strategies for patients with complex medical needs, ensuring that dietary interventions do not compromise overall health.