Medical Management of Advanced Oxalate Nephropathy Secondary to Gastric Bypass Surgery
| Autor: | Tony Kamel, Natallia Maroz |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Gastric Bypass 030204 cardiovascular system & hematology urologic and male genital diseases medicine.disease_cause Gastroenterology End stage renal disease 03 medical and health sciences chemistry.chemical_compound Postoperative Complications 0302 clinical medicine Internal medicine Humans Medicine Obesity 030212 general & internal medicine Renal replacement therapy Renal Insufficiency Chronic Aged Hyperoxaluria Oxalates Creatinine Kidney business.industry Gastric bypass surgery Acute kidney injury General Medicine medicine.disease medicine.anatomical_structure chemistry Female Enteric Hyperoxaluria business Kidney disease |
| Zdroj: | The American Journal of the Medical Sciences. 361:517-521 |
| ISSN: | 0002-9629 |
| DOI: | 10.1016/j.amjms.2020.10.005 |
| Popis: | A 73-year-old Caucasian female with a history of obesity status post Roux-en-Y gastric bypass (RYGB) surgery presented with generalized weakness and was found to have acute kidney injury (AKI) with a creatinine peak of 9.1 mg/dL above her baseline of 1.2 mg/dL, and anemia with hemoglobin 5.7 g/dl. Kidney biopsy revealed oxalate nephropathy likely related to gastric bypass surgery four years prior. RYGB is a strong risk factor for hyperoxaluria, nephrolithiasis, and oxalate nephropathy which often progresses to end-stage renal disease (ESRD). Meaningful treatment strategies for this disease entity are lacking. We present a case in which dietary and pharmacological management without the use of renal replacement therapy resulted in stabilization of chronic kidney disease (CKD) stage 5 for seven years at the time of this writing. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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