A case of severe metabolic acidosis after orthotopic neobladder replacement / 대한내과학회지
Korean Journal of Medicine
;
: 764-768, 2009.
Artigo
em Coreano
| 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).
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pesquisadores
/
Sódio
/
Equilíbrio Ácido-Base
/
Acidose
/
Ureter
/
Derivação Urinária
/
Bicarbonatos
/
Bexiga Urinária
/
Neoplasias da Bexiga Urinária
/
Cistectomia
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Medicine
Ano de publicação:
2009
Tipo de documento:
Artigo
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