A case of severe metabolic acidosis after orthotopic neobladder replacement / 대한내과학회지
Korean Journal of Medicine
;
: 764-768, 2009.
Article
in Korean
| WPRIM
| ID: wpr-208990
ABSTRACT
Following a radical cystectomy to treat bladder cancer, the ureters can be implanted in a short loop of ileum, which serves as an orthotopic bladder replacement. However, several investigators have reported the frequent development of a normal anion gap metabolic acidosis and electrolyte disturbance in these patients. The colon segments secrete sodium and bicarbonate ions and reabsorb ammonium, hydrogen, and chloride ions when exposed to urine, causing metabolic acidosis. In most cases, the acid-base disorder is not very troublesome. The metabolic acidosis can usually be corrected by administering sodium bicarbonate. We experienced a case of severe metabolic acidosis associated with urinary diversion that improved with continuous renal replacement therapy (CRRT).
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Research Personnel
/
Sodium
/
Acid-Base Equilibrium
/
Acidosis
/
Ureter
/
Urinary Diversion
/
Bicarbonates
/
Urinary Bladder
/
Urinary Bladder Neoplasms
/
Cystectomy
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2009
Type:
Article
Similar
MEDLINE
...
LILACS
LIS