Open Access Short Communication

Output Consistency Scale to Standardize Ostomate Output Description in Clinical Practice and Studies

Lisa A Whisenhunt1, Linda H Xu2, Fan Yang2 and Jacques Izard1,2,3*

1Nebraska Food for Health Center, University of Nebraska-Lincoln, USA

2Department of Food Science and Technology, University of Nebraska-Lincoln, USA

3Fred and Pamela Buffet Cancer Center, University of Nebraska Medical Center, Omaha, USA

Corresponding Author

Received Date: September 17, 2021;  Published Date: October 07, 2021


Stool descriptors have become popular due to the large diffusion of the Bristol Stool Form Scale (BSFS) via clinical studies, clinical trials, and social media. The applications have been numerous and centered around standardization of terminology that can be used by health care professionals and patients alike, as well as individuals interested in their wellness and the associated partners in the wellness industry. For a portion of the population, the digestive content is rerouted to an external manufactured pouch or bag, making the use of the BSFS visual descriptors of stool difficult. From day one post-resection surgery, ostomates are challenged with output management. The lack of standardized descriptors may hinder proper communication between the individual and the support team, as well as providing proper characterization in clinical studies and clinical trials.

We propose the Lincoln Ostomy Output Consistency Scale for jejunostomy, ileostomy and colostomy (LOOCS) to overcome the limitations of the BSFS for qualifying ostomy outputs. The design was based on the need to describe perceived consistency from the ostomate point of view. We anticipate that the LOOCS scale can be effective in pediatric and adult clinical research settings, as well as self-monitoring to manage the quality of life.

Keywords: Bristol Stool Form Scale; Ostomy; Output; Stoma; Defecation; Gastrointestinal disorders; Precision nutrition

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