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The Insides® Webinar:introducing Automated Chyme Reinfusion

How The Insides® System Works

Chyme Reinfusion Nutritional Management for Enterocutaneous Fistula

About The Insides® Company

Emma had an enteroatmospheric fistula form after being involved in a tragic car accident. She used The Insides System for close to 14 months, navigating her way through life as a 20 year old to successfully being reversed this year...

The Insides System Patient Testimonial:Emma McCutcheon

Emma had an enteroatmospheric fistula form after being involved in a tragic car accident. She used The Insides System for close to 14 months, navigating her way through life as a 20 year old to successfully being reversed this year...

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This case study follows Adrienne, a premature infant whose Neonatal Intensive Care stay was complicated by bowel perforations, significant faecal peritonitis and large volume turbid ascites, secondary to a milk curd obstruction. She required a beside laparotomy in the Neonatal Intensive Care Unit (NICU) and her postoperative journey was very difficult, complicated by hypovolemic shock, an aortic clot, a wound dehiscence with a fistula formation, and a further deterioration with septic shock leading to reduced blood flow to her small bowel.

The Insides Neo case study - Difficult start to life

This case study follows Adrienne, a premature infant whose Neonatal Intensive Care stay was complicated by bowel perforations, significant faecal peritonitis and large volume turbid ascites, secondary to a milk curd obstruction. She required a beside laparotomy in the Neonatal Intensive Care Unit (NICU) and her postoperative journey was very difficult, complicated by hypovolemic shock, an aortic clot, a wound dehiscence with a fistula formation, and a further deterioration with septic shock leading to reduced blood flow to her small bowel.

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This case study follows Sai, a premature infant whose Neonatal Intensive Care stay was complicated by Necrotising Enterocolitis (NEC) requiring a laparotomy and bowel resection with subsequent intestinal failure.

The Insides Neo Case Study – Robust growth and weight gain

This case study follows Sai, a premature infant whose Neonatal Intensive Care stay was complicated by Necrotising Enterocolitis (NEC) requiring a laparotomy and bowel resection with subsequent intestinal failure.

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This case study follows Chloe* (anonymised name), an infant born extremely pre-term who developed a volvulus and subsequent bowel ischemia resulting is a significant amount of small bowel to be resected.

Auckland Hospital NICU - First use of The Insides Neo

This case study follows Chloe* (anonymised name), an infant born extremely pre-term who developed a volvulus and subsequent bowel ischemia resulting is a significant amount of small bowel to be resected.

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Daniel is a 33yr old male known to have medically resistant Crohn’s disease affecting his jejunum and terminal ileum. He had been referred to a specialist centre for further management.

Worcestershire Double-Barrel Jejunostomy Patient Case Report

Daniel is a 33yr old male known to have medically resistant Crohn’s disease affecting his jejunum and terminal ileum. He had been referred to a specialist centre for further management.

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This is a case study written by Stomal Therapist, Clinical Nurse Consultant, Elizabeth Edebohls from Royal Melbourne Hospital in Melbourne, Australia, about their first experience of using The Insides™ System. This case study will outline Sam’s* history, introduction to, and set-up of, The Insides™ System, and how Sam has progressed.

Royal Melbourne Hospital Double Barrel Ileostomy

This is a case study written by Stomal Therapist, Clinical Nurse Consultant, Elizabeth Edebohls from Royal Melbourne Hospital in Melbourne, Australia, about their first experience of using The Insides™ System. This case study will outline Sam’s* history, introduction to, and set-up of, The Insides™ System, and how Sam has progressed.

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This case report details Rebecca’s* experience using The Insides® System for her high output ileostomy following surgery for resection of stricturing Crohn’s. This case report will focus on the positive weight gain that Rebecca experienced while using The Insides® System.

Positive Weight Gain Using The Insides System:A Case Report

This case report details Rebecca’s* experience using The Insides® System for her high output ileostomy following surgery for resection of stricturing Crohn’s. This case report will focus on the positive weight gain that Rebecca experienced while using The Insides® System.

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This case report will detail Sarah’s* experience after undergoing an ultra-low anterior resection for rectal cancer around her 59th birthday and her journey using The Insides® System. This report will focus on Sarah’s decision to reverse her loop ileostomy.

Bowel Rehabilitation:A Case Report

This case report will detail Sarah’s* experience after undergoing an ultra-low anterior resection for rectal cancer around her 59th birthday and her journey using The Insides® System. This report will focus on Sarah’s decision to reverse her loop ileostomy.

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This case report details Trevor’s journey using The Insides® System to help reduce the risk of dehydration and electrolyte imbalance from his double barrel Jejunostomy. This case report will focus on training a care giver to assist Trevor.

Carer Support While Using The Insides System :A Case Report

This case report details Trevor’s journey using The Insides® System to help reduce the risk of dehydration and electrolyte imbalance from his double barrel Jejunostomy. This case report will focus on training a care giver to assist Trevor.

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At the end of November 2019, I was operated on for a bowel obstruction at the hospital in Yverdon-les-Bains, Switzerland by Dr. A. Paroz, a specialist in abdominal surgery. During this operation, the surgeon removed 50 cm of intestine and installed a two-port ileostomy. I went home after 6 weeks in hospital....

The Insides System Patient Testimonial:Denise Piguet

At the end of November 2019, I was operated on for a bowel obstruction at the hospital in Yverdon-les-Bains, Switzerland by Dr. A. Paroz, a specialist in abdominal surgery. During this operation, the surgeon removed 50 cm of intestine and installed a two-port ileostomy. I went home after 6 weeks in hospital....

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Written by Colorectal Surgeon, Dr Kathryn Thomas, this case report details the use of The Insides® System to successfully treat a high output double-barrelled jejunostomy patient.

Nottingham University Hospitals NHS Trust Case Report - Double-Barrelled Jejunostomy

Written by Colorectal Surgeon, Dr Kathryn Thomas, this case report details the use of The Insides® System to successfully treat a high output double-barrelled jejunostomy patient.

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This case study details a patient journey from manual chyme refeeding to using The Insides® System.

Double-Barrel Jejunostomy Patient Case Report

This case study details a patient journey from manual chyme refeeding to using The Insides® System.

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Case Abstract detailing the use of The Insides® System with an Enterocutaneous Fistula patient, with the main article published in Journal Colorectal Disease.

Westmead Hospital - High-Output Enterocutaneous Fistula Case Abstract

Case Abstract detailing the use of The Insides® System with an Enterocutaneous Fistula patient, with the main article published in Journal Colorectal Disease.

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The following two case studies describe how critical thinking and stomal therapy skills were challenged during the management of two patients with complex enterocutaneous fistula (ECF).

Two Enterocutaneous Fistula Patient Case Reports

The following two case studies describe how critical thinking and stomal therapy skills were challenged during the management of two patients with complex enterocutaneous fistula (ECF).

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This case report details the use of The Insides® System to prepare “Mary” for reversal of her double-barrel ileostomy.

Bowel Continuity Testing Patient Case Report

This case report details the use of The Insides® System to prepare “Mary” for reversal of her double-barrel ileostomy.

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This report presents the case of Ray, a 65-year old male who developed a small bowel enteroatmospheric fistula (EAF)...

Enteroatmospheric Fistula Clinical Case Report

This report presents the case of Ray, a 65-year old male who developed a small bowel enteroatmospheric fistula (EAF)...

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Chyme Reinfusion Therapy:Preliminary Analysis of Recent Adult and Paediatric Clinical Experiences

Chyme Reinfusion Therapy:Preliminary Analysis of Recent Adult and Paediatric Clinical ExperiencesClick to View Poster

Can Chyme Reinfusion Therapy (CRT) Improve Intestinal Failure Associated Liver Disease (IFALD) In Adults and Children?

Can Chyme Reinfusion Therapy (CRT) Improve Intestinal Failure Associated Liver Disease (IFALD) In Adults and Children?Click to View Poster

Improvements in Nutrition Status and Liver Function for Paediatric Intestinal Failure Patients Receiving Chyme Reinfusion Therapy

Improvements in Nutrition Status and Liver Function for Paediatric Intestinal Failure Patients Receiving Chyme Reinfusion TherapyClick to View Poster

DCR Visual Abstract - Stoma Output Device for Ileostomy Patient

DCR Visual Abstract - Stoma Output Device for Ileostomy PatientClick to View Poster

A Novel Nutrient Recycling Device for Gastrointestinal Fistulas and Stoma - Design and Feasibility Study

A Novel Nutrient Recycling Device for Gastrointestinal Fistulas and Stoma - Design and Feasibility StudyClick to View Poster

Stoma-Output Reinfusion Device for Ileostomy Patients - A Feasibility Study

Stoma-Output Reinfusion Device for Ileostomy Patients - A Feasibility StudyClick to View Poster

Chyme Reinfusion Nutritional Management for Enterocutaneous Fistula

Chyme Reinfusion Nutritional Management for Enterocutaneous FistulaClick to View Poster
High output enteroatmospheric fistula management using a novel chyme reinfusion
Journal:

Journal of Stomal Therapy Australia – Volume 43 Number 2 June 2023

Publication date:

May 8, 2023

Chyme Reinfusion for Small Bowel Double Enterostomies and Enteroatmospheric Fistulas in Adult Patients: A Systematic Review
Journal:

Nutrition Management of Gastrointestinal Disorders, Volume 35, Issue 2, Pages 169-366

Publication date:

September 24, 2019

Chyme reinfusion in patients with intestinal failure due to temporary double enterostomy:A 15-year prospective cohort in a referral centre
Journal:

Clinical Nutrition, Volume 36, Issue 2, Pages 593-600

Publication date:

April 11, 2016

Management of entero-atmospheric fistulas by chyme reinfusion:A retrospective study
Journal:

Clinical Nutrition, Volume 39, Issue 12, Pages 3695-3702

Publication date:

March 27, 2020

Chyme reinfusion nutritional management for enterocutaneous fistula:first international application of a novel pump technique
Journal:

Colorectal Disease, Volume 23, Issue 7, Pages 1924-1929

Publication date:

February 27, 2021

Stoma-Output Reinfusion Device for Ileostomy Patients:A Feasibility Study
Journal:

Diseases of the Colon & Rectum, Volume 64, Issue 11, Pages e662-e668

Publication date:

June 30, 2021

Novel chyme reinfusion device for gastrointestinal fistulas and stomas:feasibility study
Journal:

British Journal of Surgery, Volume 107, Issue 9, Pages 1199–1210

Publication date:

January 3, 2020

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