Stomal Hyperflow and Intestinal Failure: A Case Report on the Use of a Chyme Reinstillation Device

Stomal hyperflow, a frequent complication of ileostomy, is associated with high morbidity and mortality, particularly when linked to intestinal failure. This situation, especially when conventional treatments fail, often results in a poor prognosis for the patient. In this case report, we present the history of a patient suffering from stomal hyperflow with intestinal failure, in the context of short small bowel syndrome following multifocal venous mesenteric ischaemia. In a critical condition at the time of admission to our hospital, he was able to benefit from The Insides® System, a chyme reinstillation device, with the aim of improving his general condition and ultimately enabling surgical restoration of digestive continuity. This system led to clinical and biological improvement, allowing surgery to restore continuity. However, certain difficulties related to the use of the device were also encountered during management.