My patient’s distal bowel is severely atrophied, what do I do?

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  • Please advise the patient that rehabilitating their distal bowel will likely be an uncomfortable experience, but it will be managed slowly, and discomfort kept to a minimum. Please reassure your patient that the discomfort will pass once their bowel is rehabilitated.
  • Please refer to Please refer to The Insides System Instructions for Use and Patient Management sections in the training hub. Reinfuse 50ml of chyme once daily and very slowly increase the frequency to their tolerance. This may take up to three (3) weeks. 
    • If chyme starts moving up the Tube on speeds 1 – 3, approximately 50 ml would be reinfused in 15 seconds.
    • If chyme starts moving up the Tube on speeds 3 – 5, approximately 50 ml would be reinfused in 30 seconds.
  • It is recommended to start with The Insides Tube 22 Fr for the first 28 days before moving onto The Insides Tube 28 Fr.
  • Do not start weaning off anti-motility medication and having large meals until the patient is sufficiently rehabilitated. This is to mitigate increased output into the ostomy appliance and increasing the risk of dehydration.

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