ARTICLE DOWNLOAD

Metabolic alkalosis due to short bowel syndrome in a hemodialysis patient

10$
ARTICLE DOWNLOAD

Metabolic alkalosis due to short bowel syndrome in a hemodialysis patient

10$

Satoshi Masuyama, Katsuyuki Nagatoya, Takayuki Kawaoka, Saho Kawanishi, Hiroki Nomi, Aki Warada, Atsuyuki Tokuyama, Ryota Haga, Daisuke Mori & Atsushi Yamauchi 

Abstract

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.

Only units of this product remain
Year 2020
Language English
Format PDF
DOI 10.1007/s13730-020-00445-1