Electrolyte profile in pediatric patients with intestinal stoma
Authors:   Department of Child Health, Faculty of Medicine, Airlangga University, Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia, Haliza Wilda , Ranuh Reza Gunadi ,   Department of Child Health, Faculty of Medicine, Airlangga University, Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia, Athiyyah Alpha Fardah ,   Department of Child Health, Faculty of Medicine, Airlangga University, Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia, Novi Theresia ,   Department of Pathology Clinic, Husada Utama Hospital, Surabaya, East Java, Indonesia, Darma Andy ,   Department of Child Health, Faculty of Medicine, Airlangga University, Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia, Sumitro Khadijah Rizky ,   Department of Child Health, Faculty of Medicine, Airlangga University, Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia, Sudarmo Subijanto Marto ,   Department of Child Health, Faculty of Medicine, Airlangga University, Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia
Published: January 2025

Background and objectives. Pediatric patient with the intestinal stoma accompanied by or without intestinal resection often suffer from imbalance electrolyte. Electrolyte content at the stool of intestinal stoma depends on location, resection, intake, age, and duration of stoma creation. However, research on electrolytes levels in the blood and stool of pediatric stoma patients remains limited, especially in developing countries. Materials and methods. An analytical observation study was conducted at Dr. Soetomo General Hospital, Surabaya between April and July 2023. Study participant included 33 pediatric patients (0-18 years old) with the liquid stool of intestinal stoma. The blood and liquid stool of intestinal stoma were examined to determine electrolyte levels with the same procedure. The results of electrolyte are then analyzed by the Spearman or Pearson correlation coefficient, depending on the distribution of the variables. Results. A total of 33 pediatric patients met the inclusion criteria. We analyzed the electrolyte composition of blood and stool of intestinal stoma, focusing on sodium, potassium, and chloride, and considered the stoma location and intestinal resection. No statistically significant association was found between blood sodium, potassium and chloride levels with stool in the ileostomy group (p = 0.663, p = 0.722 and p = 0.798, respectively). There was also no statistically significant correlation between blood sodium, potassium, and chloride levels and stool in the sigmoidostomy with resection group (p = 0.188, p = 0.188, and p = 0.188). There was no correlation between the levels of sodium (p = 0.304), potassium (p = 0.759), and chloride (p = 0.613) in the blood and stool of the sigmoidostomy without resection group. Conclusions. There was no correlation between electrolyte of blood and stool of intestinal stoma with location and resection of intestinal. The study found no significant correlations between electrolyte levels in the blood and stool of pediatric patients with intestinal stomas, regardless of stoma location or resection status.