Your browser doesn't support javascript.
loading
Development of Metabolic Acidosis after Neobladder Reconstruction / 이화의대지
The Ewha Medical Journal ; : 98-105, 2015.
Artículo en Coreano | WPRIM | ID: wpr-165763
ABSTRACT

OBJECTIVES:

Metabolic acidosis frequently develops in patients after neobladder reconstruction. However, the incidence of metabolic acidosis in patients with neobladder and the factors associated with the development of metabolic acidosis have not been well elucidated. We aimed to investigate the incidence and the potential predictors for the development of metabolic acidosis after neobladder reconstruction with intestinal segment.

METHODS:

We included patients who underwent neobladder reconstruction using intestinal segment at Ewha Womans University Mokdong Hospital between January 1, 2005 and December 31, 2014. A subgroup of patients according to the time of metabolic acidosis occurrence was further analyzed in order to characterize predictors for metabolic acidosis.

RESULTS:

Metabolic acidosis was encountered in 79.4% of patients with neobladder during follow up period. When patients were divided into 2 groups according to anion gap (AG), total CO2 (18.9+/-2.1 mEq/L vs. 20.0+/-1.3 mEq/L, P=0.001) and chloride (106.6+/-4.9 mE/L vs. 109.4+/-3.6 mEq/L, P12 and AG< or =12. Furthermore, when patients were divided into 3 groups; patients with metabolic acidosis at postoperative day (POD) 1; from POD 2 to 14 days; after 14 days, there was significant difference among those subgroups.

CONCLUSION:

Our study showed the rate of metabolic acidosis in patients underwent neobladder reconstruction and the difference between patients with metabolic acidosis and those without metabolic acidosis for the first time in Korea. In the future, well designed prospective study will be needed to prevent metabolic acidosis after neobladder reconstruction.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Equilibrio Ácido-Base / Acidosis / Cistectomía / Incidencia / Estudios Prospectivos / Estudios de Seguimiento / Corea (Geográfico) Tipo de estudio: Estudio de incidencia / Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Femenino / Humanos País/Región como asunto: Asia Idioma: Coreano Revista: The Ewha Medical Journal Año: 2015 Tipo del documento: Artículo

Similares

MEDLINE

...
LILACS

LIS

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Equilibrio Ácido-Base / Acidosis / Cistectomía / Incidencia / Estudios Prospectivos / Estudios de Seguimiento / Corea (Geográfico) Tipo de estudio: Estudio de incidencia / Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Femenino / Humanos País/Región como asunto: Asia Idioma: Coreano Revista: The Ewha Medical Journal Año: 2015 Tipo del documento: Artículo