Page 53 - Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022

Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022
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14 MOH-AMM Scientific Meeting 2022 in conjunction with 23 NIH Scientific Conference Abstract Book
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ID 21 A CASE REPORT: A PRACTICAL APPROACH TO THE MANAGEMENT OF HIGH-OUTPUT
STOMA

Eliza Wong Yen Sim, KohYee Ching, Suriyanti Muhi, Chong Chin Weun
Dietetics Department, Hospital Sultan Ismail, Johor Bahru, Malaysia

INTRODUCTION: High-output stoma (HOS) is encountered with surgically created stomas,
particularly ileostomy. The development of a HOS is associated with medical complications
such as dehydration, electrolyte imbalance and malnutrition. Proper assessment and
management is required to avoid rapid clinical deterioration in this patient population. A
multidisciplinary approach to management ensures the best possible outcome.
METHODS: A 67-year-old Malay lady with history of laparotomy and enterotomy for removal
of bezoar and ileostomy was admitted due to acute kidney injury secondary to high ileostomy
output. This was her third admission in 2-month post surgery despite dietary modifications
and anti-motility drugs were optimized prior to discharge. However, due to non compliance,
patient developed high ileostomy output and resulted in acute kidney injury and intractable
symptomatic hyponatremia.
RESULTS: A combination of fluid resuscitation, correction of electrolyte imbalances,
optimization of anti-motility drug therapy and adherence to a dietary regimen modified for
HOS contributed to the successful management of this case. The patient and her family
members were educated by dietitian for dietary modifications and discharged home with a
patient-information-leaflet educating them on the maintenance of her dietary regimen.
DISCUSSION/CONCLUSION: High readmission rates are often the result of a failure to
anticipate what will happen after discharge. Preventing readmission in these patients
requires frequent follow-ups to optimize medications, fluid, and food intake. Most of the re-
admissions for high stoma-output can be avoided with proper planning, anticipatory guidance,
along with good family support as well as thorough follow-up.

ID 23 SUGAR INTAKE AMONG MALAYSIAN ADULTS FROM CONSUMPTION OF SELF-
PREPARED DRINKS DAILY: A TABULATION BY SOCIO-DEMOGRAPHIC CHARACTERISTICS

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Lalitha Palaniveloo , Cheong Siew Man , Ruhaya Salleh and Ahmad Ali Zainuddin 1
1 Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia
2 Klinik Kesihatan Bentong, Pahang, Malaysia

INTRODUCTION: Coffee, tea, chocolate or malted beverages added with sugar and/or
sweetened condensed milk or sweetened creamer are categorised as self-prepared drinks in
this study. Studies in relation to sugar-sweetened beverages (SSB) intake among Malaysian
adults showed that consumption of sugar-added self-prepared drinks was higher compared
to intake of premixed and soft drinks. Therefore, this study aimed to determine the daily
intake of sugar from the sugar added self-prepared drinks among respondents consuming
self-prepared drinks daily.
METHODS: Data for 5842 respondents in this study were drawn from National Health and
Morbidity Survey (NHMS) 2019, a nationwide cross-sectional study conducted among adults
≥18 years old in Malaysia. Respondents were recruited using stratified cluster sampling,
covering urban and rural areas from all states in Malaysia. The data collection period was
from July until October 2019. Information on socio-demographics and the self-prepared
beverages intake of the respondents were collected by interviewer-administered

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