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Severe hyperkalemia following ileostomy not colostomy in a patient undergoing chronic hemodialysis

In patients with end-stage renal disease (ESRD), the intestinal tract may assume an accessory potassium (K+) excretory role in the face of declining renal excretory function. Here, we report the case of a patient with ESRD who developed severe hyperkalemia following ileostomy not colostomy. A 6△-year-old woman undergoing hemodialysis began developing severe hyperkalemia after ileostomy. Previously, she had successfully undergone resection and colostomy of the transverse colon. The pre-dialysis serum K+ level was normal. Our present case demonstrates the importance of intestinal K+ secretion, especially in the colon, for maintaining hemostasis in patients with ESRD. doi:10.11482/KMJ-E41(2)65 (Accepted on October 23, 2015)

著者名
Yorimitsu D, et al
41
2
65-69
DOI
10.11482/KMJ-E41(2)65

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