CHANGES IN WHOLE BODY POTASSIUM ASSOCIATED WITH URETERO–INTESTINAL ANASTOMOSES<sup>1</sup>

Williams, R. E.; Davenport, T. J.; Burkinshaw, L.; Hughes, David G.

doi:10.1111/j.1464-410x.1967.tb09844.x

Cited by 29 publications

(7 citation statements)

References 11 publications

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“…Das wird nicht ohne weiteres deutlich, da K hauptsächlich im IZR vertreten ist. Kaliumbestimmungen des Gesamtkörpergehaltes mit radioaktivem Kalium haben ge zeigt, dass nach HDA ein Defizit besteht, während der Plasma kaliumspiegel meistens normale Werte ergab [4,47]. Zu ähnlichen Ergebnissen kamen S e r e n i et al [36] …”

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Elektrolytstörungen nach Harnahleitung in den Dickdarm

Battke¹,

Stadie²

1970

Urol Int

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Innerhalb von 25 Jahren wurde in unserer Einrichtung bei 354 Patienten eine Harn-leiterdarmanastomose durchgeführt. 97 Patienten konnten nachuntersucht werden. Dabei wurde das Hauptaugenmerk auf Veränderungen des Mineralhaushaltes gelegt. Na⁺-, K⁺-, Ca⁺⁺-, Mg⁺⁺- und CI^––-Bestimmungen im Serum wurden durchgeführt und die Ursachen ihrer Abweichung diskutiert. Ausserdem wurden Alkalireserve- und Harn-stoffuntersuchungen beim gleichen Patientenkreis vorgenommen. Die pathologischen Werte unserer Untersuchungsergebnisse haben wir prozentual aufgeschlüsselt und ihre Bedeutung für die Klinik aufgezeigt. Diesen Hinweisen folgte die kritische Einschätzung der Harnleiterdarmanastomose.

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Elektrolytstörungen nach Harnahleitung in den Dickdarm

Battke¹,

Stadie²

1970

Urol Int

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“…In the 1960s and 1970s, the total body depletion of potassium in patients with urinary diversion using the rectosigmoid or ileum was reported in some but not all studies [ 5–13]. Ansell et al [ 5] reported a one‐third deficit in total body potassium (exchangeable potassium measured by isotope dilution) in their patients with a ureterosigmoidostomy.…”

Section: Discussionmentioning

confidence: 99%

“…There are a few reports describing a reduction of potassium in patients with hyperchloraemic acidosis caused by urinary diversion [ 5–13]. Hypokalaemia with muscular paralysis has been reported in patients with a ureterosigmoidostomy [ 9–12].…”

Section: Introductionmentioning

confidence: 99%

Whole‐body potassium and bone mineral density up to 30 years after urinary diversion

Fisch¹,

Andreas²,

Bockisch

et al. 1998

British Journal of Urology

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Objectives To evaluate the long‐term effects of different types of urinary diversion on skeletal bone density and whole‐body potassium content in patients with an early correction of base excess (<−2.5). Patients and methods The early correction of base excess (<−2.5) is one of the principles of the treatment of patients undergoing urinary diversion at our institution. In 27 patients with urinary diversion, bone mineral density (assessed by dual‐photon absorptiometry), whole‐body potassium, electrolyte and creatinine levels were determined, and capillary blood gas analysed. The mean time since surgery was 16.8 years in 16 patients with a rectal reservoir, 20.5 years in six patients with a colonic conduit, 7.8 years in four patients with an ileocaecal pouch and 5 years in one adolescent with an ileal bladder augmentation. Results Bone mineral density was normal in 25 of the 27 patients; no exact measurement was possible in the remaining two. The whole‐body potassium content was reduced in eight of the 27 patients (three with a conduit, two with a rectal reservoir, two with an ileocaecal pouch and one with ileal augmentation). In four of these eight patients the base excess was <−2.5 (−2.7 to −5). Of the other four, two had no regular testing of their base balance and two were obese. The electrolytes were within the normal ranges. None of the patients had hyperchloraemic metabolic acidosis. Conclusion With early correction of the base excess (<−2.5), there was no decrease in bone mineral density and no hyperchloraemic acidosis. There was no significant difference between the different types of urinary diversion. There seems to be a relationship between low base excess and decreased whole‐body potassium.

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“…Metabolik bozukluk oluştuğunda, segment çıkarılıp ileum ya da kolon ile değiştirilmelidir. Kolonik segment ile yapılan diversiyonlarda ise, asidozun düzeltilmesi için kaybedilen potasyum da oldukça önemlidir (8). Bu durum kas güçsüzlüğü ile klinik belirti verir.…”

Section: Elektrolit Ve Asit-baz Değişiklikleriunclassified