Metabolic alkalosis due to short bowel syndrome in a hemodialysis patient
| Autor: | Ryota Haga, Daisuke Mori, Katsuyuki Nagatoya, Hiroki Nomi, Aki Warada, Atsushi Yamauchi, Atsuyuki Tokuyama, Saho Kawanishi, Takayuki Kawaoka, Satoshi Masuyama |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Short Bowel Syndrome Nephrology medicine.medical_specialty medicine.medical_treatment 030232 urology & nephrology Metabolic alkalosis Case Report Sodium Chloride 030204 cardiovascular system & hematology Gastroenterology Excretion Electrolytes Feces 03 medical and health sciences Ileostomy 0302 clinical medicine Chlorides Renal Dialysis Internal medicine medicine Humans Infusions Intravenous business.industry Alkalosis General Medicine Middle Aged Short bowel syndrome medicine.disease Small intestine Bicarbonates medicine.anatomical_structure Kidney Failure Chronic Hemodialysis Blood Gas Analysis business Electrolyte Disorder |
| Zdroj: | CEN Case Reports. 9:162-164 |
| ISSN: | 2192-4449 |
| Popis: | A 53-year-old man on hemodialysis suffered from short bowel syndrome after subtotal colectomy and partial resection of the small intestine. Laboratory tests showed multiple electrolyte disorders and enlarged sodium and chloride ion (Cl(−)) gaps despite treatment with large volume of sodium chloride replacement via central venous infusion. Blood gas analysis showed slightly high bicarbonate ion levels and metabolic alkalosis was suspected, which is uncommon in end stage kidney disease. The measurement of electrolytes in feces from ileostomy showed relatively high Cl(−) excretion. The loss of Cl(−) to feces may have caused the metabolic alkalosis; thus, additional Cl(−) replacement may have been necessary. |
| Databáze: | OpenAIRE |
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