<p>You are about to enter the global website of the B. Braun Group. We recommend you visit the website of your local B. Braun organization.</p>

United States - B. Braun Medical Inc.

Global - B. Braun Melsungen AG

<p>Not all products are registered and approved for sale in all countries or regions. Indications of use also may vary by country and region. Please contact your country representative for product availability and information. Product images are for reference only.</p>

Cancel

You have successfully logged out.

High-output stoma management

Managing patients with high-output stomas

A high-output stoma refers to a condition where the output of your patient is enough to cause dehydration. In general, this occurs with an output greater than 1.5-2 liters per day.¹ Up to 16% of patients experience high output in the first three weeks after surgery¹, requiring 8 to 25 bag changes every 24 hours.² However, high output can also occur much later and even in patients that are not used to have high output.¹

Up to

0%

Of patients cope with high-output stoma in first three weeks after surgery¹
More than

0

Liters of output per day¹
Up to

0

bag emptyings every 24h*²

^{*Based on a stoma output of 2 to 8 L/day and bag emptying volumes of 300 to 600 mL.}

These challenges affect not only the patient’s well-being but also your daily routines as a healthcare professional.

High-output stomas, high demands

Patients with high output require a comprehensive and individualized approach to care.³ Their elevated output levels demand not only intensified daily management and the use of customized products, but also monitoring and output assessment can be required.³ The provision of personalized support can foster patient empowerment and help to navigate their condition with confidence.⁴

At B. Braun, we understand the demands of high-output stoma care. That’s why we offer reliable products tailored to the needs of nurses and product users as well as personalized support for your patients. Our goal is help you take care of your patients in the best possible way.

Daily care

High-output patients usually require more frequent appliance changes than stoma patients with low output. This has direct implications on the need for protection of the peristomal skin. In patients with more aggressive nature of the stoma effluent in combination with elevated output levels, leakage prevention becomes paramount.

Your demands:
Prevent leakage
Protect the peristomal skin
Maintain patient comfort

B. Braun supports you with:

A large portfolio of high flow bags to match the individual needs of your patients
High-capacity bags to reduce change frequency and protect the peristomal skin
Large outlets for safe and hygienic drainage of stoma effluents
Connection to 2L flow collectors to extend wear time and reduce skin trauma
A wide range of stoma care accessories for personalized routines

Clinical monitoring & output assessment

Monitoring output volume as well as visually inspecting output are crucial in the management of high output patients. This helps to detect dehydration, electrolyte imbalances, or complications like bleeding, or the effects of medication and diet.

Your demands:
Track output volume
Detect early signs of complications (e.g. skin irritation)
Support clinical decision-making

B. Braun supports you with:

Transparent or windowed bags for visual inspection
Distal bags with 2L capacity and graduated scale for approximative indication of output
Long tubing for flexible positioning and patient comfort

flow collector connected to a high-flow stoma bag

Personalized support & patient empowerment

Like any other stoma patient, patients with high-output often feel overwhelmed. They need not only education on managing life with a high output stoma, but also emotional reassurance to regain confidence in their daily lives.⁴

Your demands:
Educate affected patients on stoma care and lifestyle adjustments
Provide emotional support and reassurance
Help affected patients to find the right products for their needs

Our stoma support service B. Braun with you supports your patients with:

Personalized phone support
Free product samples
Educational resources

Our service is free of charge and available in select countries.

Learn more

Person sitting on a couch using a laptop for a video consultation with a healthcare professional.

Discover our products for patients with high output

Flexima® High Flow Bags

With its flower shaped hydrocolloid skin protector, Flexima® drainable bags adapt well to body contours and give added comfort to people with an enterostomy. The Flexima® High Flow bags are designed to collect a large quantity of body effluents. Their 15 mm outlet allows an easy evacuation of liquid stools and food debris.

Flexima® 3S High Flow Bags

Flexima® 3S is a 2-piece range with a guided mechanical coupling system for an easy positioning of the stoma bag onto the wafer. The Flexima® 3S High Flow bags are designed to collect a large quantity of body effluents. Compact bag shape with large outlet: Ergonomic and optimized bag design for large capacity with funnel-shaped lower part14 mm large outletCan be connected to the Flow Collector, a distal collecting bag To be used with the Flexima® 3S wafer corresponding to the chosen diameter of the bagBox of 30 high-flow drainable bags Colors and capacity (volume as per ISO 8670-2): In addition to the transparent bags we are offering also beige split cover bags (with inspection window) that combine both the discretion of a beige stoma bag and the visual control to check easily stoma or stool aspect and quantity. Ø55 mm: capacity of +/- 970 ml, beige with inspection window and transparentØ65 mm: capacity of +/- 940 ml, beige with inspection window and transparentØ80 mm: capacity of +/- 900 ml, beige beige with inspection window and transparent High performance protected filter (HP): Improved deodorization capacity through its high-tech breathable membraneLeak-proof and permeable to gases Material: Soft non-woven and odor-proof plastic filmFree of latex (PVC) and phthalates (DEHP)

Flexima® Key Maxi Drainable Bags

Flexima® Key is a flexible adhesive two-piece system with a guided coupling system for precise, simple and secure bag positioning on the wafer. The soft material of the coupling system provides flexibility which allows the wafer to adapt well to different body contours. The Flexima® Key Maxi bag presents a funnel-shaped outlet for high output.

Flexima Active O' convex High-Flow Bags

Flexima® Active O' convex bags are designed to adapt to the body contours of people with a flush or slightly retracted stoma. The wafer of Flexima® Active O' convex is flexible and has a gentle slope for an even pressure distribution and great skin tolerance. Its comformability is designed to ensure a good seal around the stoma while providing a high level of comfort and a feeling of security.The high-flow bag is designed to collect a large quantity of body effluents for people with a high output stoma condition. Its large run-off outlet allows for an easy evacuation of liquid stools and debris. It can be directly connected to the Flow Collector and is easy to use.It is available in beige with split cover for a 920 ml volume in cut-to-fit.

Flow Collector

The Flow Collector is a drainable distal collecting bag with long evacuation tubing for high flow liquid stools. Connected to the patient's stoma bag, this 2L collecting bag allows to increase the collecting capacity of high flow liquid stools.

Interested in testing our products for patients with high output?

If you are an ET nurse working at a hospital or a community center, please fill out the form below. Our local sales team will contact you to provide the product samples.

Please note: Samples requests are available only in selected countries.

First Name *

Last Name *

Organization / Hospital / Institution *

Function *

City *

Country *

Business E-Mail *

Phone Number

Please select your country code.

Phone number is too long. It must be maximum 15 digits, including the country code (e.g., +12025550123).

Phone number is too short. It must be at least 9 digits, including the country code (e.g., +12025550123).

Invalid number.

Products *

Flexima/Softima High Flow Bag Flexima/Softima 3S High Flow Bag Flexima/Softima Key Maxi Drainable Bag Flexima/Softima Active O' convex High-Flow Bag Flow Collector

Marketing Consent *

Yes, I would like to receive additional information about relevant therapies, products, solutions or events from B. Braun and its contracted distribution partners in future.

The responsible organization is B. Braun Avitum AG

I can revoke my consent at any time by sending an e-mail to info(@)bbraun.com or by clicking on the unsubscribe link at the end of any marketing e-mail. For more information about the processing of your data and your data protection rights, please refer to our privacy notice.

References

Nightingale JMD. How to manage a high-output stoma. Frontline Gastroenterol. 2021 Mar 22;13(2):140-151. doi: 10.1136/flgastro-2018-101108. PMID: 35300464; PMCID: PMC8862462.
Slater R High-output stomas : challenges with a large laparostomy wound. BJN 2011; 21(6):S26-S33
Nightingale J, Woodward JM; Small Bowel and Nutrition Committee of the British Society of Gastroenterology. Guidelines for management of patients with a short bowel. Gut. 2006 Aug;55 Suppl 4(Suppl 4):iv1-12. doi: 10.1136/gut.2006.091108. PMID: 16837533; PMCID: PMC2806687.
D'Ambrosio F, Pappalardo C, Scardigno A, Maida A, Ricciardi R, Calabrò GE. Peristomal Skin Complications in Ileostomy and Colostomy Patients: What We Need to Know from a Public Health Perspective. Int J Environ Res Public Health. 2022 Dec 21;20(1):79. doi: 10.3390/ijerph20010079. PMID: 36612395; PMCID: PMC9819694.

Take part in our customer survey

Your feedback matters! Participate in our customer survey to help us enhance our website, products and services. Thank you for your support!

Start survey

Managing patients with high-output stomas