I. Hassan et al., Chronic renal failure secondary to oxalate nephropathy: A preventable complication after jejunoileal bypass, MAYO CLIN P, 76(7), 2001, pp. 758-760
Citations number
19
Categorie Soggetti
General & Internal Medicine","Medical Research General Topics
Enteric hyperoxaluria is a commonly seen adverse event after the jejunoilea
l bypass procedure. The increased concentration of urinary oxalate predispo
ses bypass patients to various renal complications such as nephrolithiasis
and oxalate nephropathy, If not diagnosed and appropriately treated, these
complications can lead to irreversible renal damage. We describe 3 patients
in whom severe renal complications developed with irreversible compromise
of renal function after a jejunoileal bypass. Patients who undergo a jejuno
ileal bypass require lifelong follow-up with close monitoring of their rena
l function. Marked decline in renal function mandates prompt investigation
and aggressive intervention, including reversal of the jejunoileal bypass i
f necessary. Chronic renal failure secondary to oxalate nephropathy is prev
entable and treatable but may require conversion of a jejunoileal bypass to
a more current form of bypass.