Abstract
Phosphate nephropathy is an acute renal failure that develops upon injury to tubulus cells caused by phoshate crytals. Colonoscopy is performed frequently for various indications
and provide direct examination of the colon. Phosphate content purgatives are used for premedication before colonoscopy. Phosphate nephropathy, electrolyte imbalance and
blood gas abnormalities can be seen due to use of these purgatives. This complication may especially occur in high risk patients. We report a case of acut posphate nephropathy
after colonoscopy in a 73-year-old male who was hospitalized for anemia in internal medicine clinic.
References
- Referans1 Balaban DH: Guidelines for the safe and effective use of sodium phosphate solution for bowel cleansing prior to colonoscopy. Gastroenterol Nurs 2008; 31 (5): 327-334
- Referans2 Desmeules S, Bergeron MJ, Isenring P. Acute phosphate nephropathy and renal failure. N Engl J Med. 2003;349:1006- 7
- Referans3 Gumurdulu Y, Serin E, Ozer B, Gokcel A, Boyacioglu S. Age as a predictor of hyperphosphatemia after oral phosphosoda administration for colon preparation. J Gastroenterol Hepatol. 2004;19:68-72
- Referans4 Jimenez C, Gagel RF. Disorders Affecting Multipl Endocrine Systems. In: Fauci AS, Braunweld E, Kasper DL (eds.), Harrison’s Principles of Internal Medicine. 17th ed. New York: McGraw-Hill Co; 2013. p.2371-2372
- Refeans5 Heher EC, Thier, SO, Rennke, H, Humphreys, BD. Adverse renal and metabolic effects associated with oral sodium phosphate bowel preparation. Clin J Am Soc Nephrol. 2008; 3:1494
Abstract
Fosfat nefropatisi fosfat kristallerinin nefronları hasara uğratması sonucu gelişen akut böbrek yetmezliğine verilen addır. Kolonun direk incelenmesini sağlayan kolonoskopi işlemi
çeşitli endikasyonlar nedeniyle sıkça uygulanmaktadır. Kolonoskopi öncesi hazırlık olarak fosfat içerikli purgatifler kullanılmaktadır. Bu purgatiflere bağlı olarak fosfat nefropatisi,
elektrolit ve kan gazı bozuklukları görülebilmektedir. Özellikle yüksek riskli hastalarda gelişebilecek bu komplikasyon göz ardı edilmemelidir. Biz de bu olgu sunumunda anemi
etyolojisi araştırılmak üzere iç hastalıkları kliniğinde takip edilen 73 yaşındaki erkek olguda kolonoskopiyi takiben gelişen akut fosfat nefropatisini sunmayı amaçladık.
References
- Referans1 Balaban DH: Guidelines for the safe and effective use of sodium phosphate solution for bowel cleansing prior to colonoscopy. Gastroenterol Nurs 2008; 31 (5): 327-334
- Referans2 Desmeules S, Bergeron MJ, Isenring P. Acute phosphate nephropathy and renal failure. N Engl J Med. 2003;349:1006- 7
- Referans3 Gumurdulu Y, Serin E, Ozer B, Gokcel A, Boyacioglu S. Age as a predictor of hyperphosphatemia after oral phosphosoda administration for colon preparation. J Gastroenterol Hepatol. 2004;19:68-72
- Referans4 Jimenez C, Gagel RF. Disorders Affecting Multipl Endocrine Systems. In: Fauci AS, Braunweld E, Kasper DL (eds.), Harrison’s Principles of Internal Medicine. 17th ed. New York: McGraw-Hill Co; 2013. p.2371-2372
- Refeans5 Heher EC, Thier, SO, Rennke, H, Humphreys, BD. Adverse renal and metabolic effects associated with oral sodium phosphate bowel preparation. Clin J Am Soc Nephrol. 2008; 3:1494
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Publication Date | April 12, 2017 |
| Submission Date | February 28, 2016 |
| Published in Issue | Year 2017 |
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