The gastrointestinal tract in uremia

Kang, Jin Yong

doi:10.1007/bf01307542

Cited by 139 publications

(92 citation statements)

References 144 publications

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“…In this case, the initial abdominal CT scan showed that the aortomesenteric distance was rather large (23 mm), which was caused by the duodenal edema. It has been previously reported that endoscopic examination of the duodenum showed pale mucosa, edema, congestion, and ulceration in patients with CRF [9,10]. In the present case, since edema of the interstitial space and extremities and pulmonary congestion were observed, the probable cause of SMA syndrome was duodenal edema due to the fluid balance disorder that was induced by CRF.…”

Section: Discussionsupporting

confidence: 55%

Superior mesenteric artery syndrome due to duodenal edema in a chronic renal failure patient: a case report

2013

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A 74-year-old woman had been treated conservatively for type 2 diabetes mellitus (DM) and DM nephropathy since 2004. Her renal function gradually deteriorated, and she developed chronic renal failure (CRF) with a serum creatinine level between 2.5 and 3.0 mg/dl in 2010. She presented to our hospital with nausea and vomiting related to the progression of CRF in May 2011. An abdominal computed tomography (CT) scan showed distention of the upper digestive tract from the stomach to the third portion of the duodenum, ascites, and compression of the duodenum by the abdominal aortic artery and the overlying superior mesenteric artery (SMA), which was caused by edema along the gastrointestinal tract, in particular, at the duodenum. Therefore, she was diagnosed with SMA syndrome. Decompression of the distended upper digestive tract was achieved using a nasogastric tube, and hemodialysis was also initiated in order to adequately control her fluid balance disorder, which was thought to have induced the duodenal edema and ascites. After initiating these treatments, her condition gradually improved, and she fully recovered after approximately 2 months of treatment. Thus far, there has been no report of SMA syndrome caused by duodenal edema associated with the progression of CRF that was successfully treated by conservative treatment and the initiation of blood purification.

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Section: Discussionsupporting

confidence: 55%

Superior mesenteric artery syndrome due to duodenal edema in a chronic renal failure patient: a case report

2013

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“…Constipation is a common problem in patients with uremia due to causes such as the use of antacids containing aluminum, dehydration, and physical activity (27). In our study, the prevalence of functional constipation was found to be higher in HD patients than in the controls.…”

Section: Discussionmentioning

confidence: 47%

Functional bowel disorders and associated risk factors in hemodialysis patients in Turkey

Gök

İnci²,

Çoban³

et al. 2017

Turk J Gastroenterol

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“…2,3 It has been reported in the literature that AKI develops in 1-11.4% of patients with acute UGB. 4,5 Duration of hospital stay and mortality increases in patients with UGIB complicated by AKI. The 2012 Kidney Disease Improving Global Outcomes (KDIGO) Clinical Practice Guideline has defined RIFLE criteria to classify AKI.…”

Section: Introductionmentioning

confidence: 99%

Effects of acute kidney injury on clinical outcomes in patients with upper gastrointestinal bleeding

et al. 2015

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Aim Upper gastrointestinal bleeding (UGIB) is a very frequently encountered condition that has a high morbidity and which increases treatment costs. Duration of hospital stay and mortality increases in patients with UGIB complicated by acute kidney injury (AKI). The aim of this study was to reveal risk factors in patients with UGIB developing AKI and to compare clinical outcomes and hospital costs between patients with UGIB developing AKI and those with UGIB not developing AKI. Material and methods This retrospective study included 245 patients admitted to the emergency unit and the intensive care unit for internal diseases at Ankara Numune Education and Research Hospital, Turkey. Results The difference in mortality rates between the patients with AKI and those without AKI was significant (p50.001). The mean duration of intensive care unit stay was 0.2 ± 1.1 days in the patients without AKI (n ¼ 143) and 2.5 ± 5.6 days in the patients with AKI. It was significantly higher in the patients with AKI (p50.001). Hospital stay was significantly longer in the patients with AKI than those without AKI, and as severity of AKI increased, hospital stay became considerably longer (p50.001). Hospital costs were significantly higher in the patients with AKI than those without AKI, and as severity of AKI increased, hospital costs considerably rose (p50.001). Conclusion AKI is a condition that lengthens hospital stay, increases hospital costs and creates a burden on health care systems. Detect kidney injury earlier and administering an appropriate treatment can improve clinical outcomes in patients with UGIB developing AKI. ARTICLE HISTORY

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The gastrointestinal tract in uremia

Cited by 139 publications

References 144 publications

Superior mesenteric artery syndrome due to duodenal edema in a chronic renal failure patient: a case report

Superior mesenteric artery syndrome due to duodenal edema in a chronic renal failure patient: a case report

Functional bowel disorders and associated risk factors in hemodialysis patients in Turkey

Effects of acute kidney injury on clinical outcomes in patients with upper gastrointestinal bleeding

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