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Journal of Diagnostics

December 2014, Volume 1, 2, pp 53-56

Acute Renal Failure, Electrolyte and Acid-Base Changes in Three Cases with Ileostomy

Fatih Mehmet Erdur

,

Yasemin Soyoral

,

Habib Emre

,

Huseyin Begenik

,

Esra Turan Canbaz

,

Ozgur Kemik

Fatih Mehmet Erdur 1 Yasemin Soyoral 1 ,
;
Habib Emre 1 Huseyin Begenik 1 Esra Turan Canbaz 5
Ozgur Kemik 6

  1. Yuzuncu Yil University, Medical Faculty, Department of Nephrology, Van, Turkey 1

  2. Yuzuncu Yil University, Medical Faculty, Department of Internal Medicine, Van, Turkey 5

  3. Yuzuncu Yil University, Medical Faculty, Department of General Surgery, Van, Turkey 6

Pages: 53-56

DOI: 10.18488/journal.98/2014.1.2/98.2.53.56

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Abstract:

Ileostomy is a standard surgical procedure performed in order to protect the anastomosis and reduce the complication risk in colorectal surgery. Dehydration is one of the most important complications of ileostomy and dehydration-induced renal failure. We present three ileostomy cases that had undergone bowel resection for small bowel perforation, two of which due to mesenteric ischemia, and the other one due to a gunshot injury, all three developing acute renal failure. As ileostomy patients carry the risk of life-threatening renal failure and electrolyte and acid-base changes due to dehydration, clinicians should follow-up these patients closely considering the possible complications of ileostomy.
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Reference:

  1. N. Beck-Kaltenbach, K. Voigt, and B. Rumstadt, "Renal impairment caused by temporary loop ileostomy," Int. J. Colorectal Dis., vol. 26, pp. 623-626, 2011.
  2. G. Hill, W. Mair, and J. Goligher, "Cause and management of high volume output salt depleting ileostomy," Br. J. Surg., vol. 62, pp. 720-6, 1975.
  3. N. Gallagher, D. Harrison, and A. Skyring, "Fluid and electrolyte disturbances in patients with long-established ileostomies," Gut., vol. 3, pp. 219-23, 1962.
  4. S. Feinberg, R. McLeod, and Z. Cohen, "Complications of loop ileostomy," Am J Surg., vol. 153, pp. 102–6, 1987.
  5. J. W. Wolfgang and A. S. Feliciano, "Acute electrolyte and acid-base disorders in patients with Ileostomies: A case series," Am J Kidney Dis., vol. 52, pp. 494-500, 2008.
  6. G. Hill, Normal ileostomy physiology. In: Hill GL (Eds). Ileostomy: Surgery, physiology and management. New York: Grune & Stratton, 1976.
  7. C. Newton, "The effect of codeine phosphate, lomotil, and isogel on ileostomy function," Gut., vol. 14, pp. 424-5, 1973.
  8. D. Saunders, M. Saunders, and J. Sillery, "Beneficial effects of glucose polymer and an H2-receptor blocker in a patient with a proximal ileostomy," Am. J. Gastroenterol., vol. 84, pp. 192-4, 1989.

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