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Acute Phosphate Nephropathy After Colonoscopy; A Case Report

Year 2017, Volume: 7 Issue: 1, 1 - 1, 12.04.2017
https://doi.org/10.31832/smj.306322

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

Kolonoskopiyi Takiben Gelişen Akut Fosfat Nefropati Olgusu

Year 2017, Volume: 7 Issue: 1, 1 - 1, 12.04.2017
https://doi.org/10.31832/smj.306322

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
There are 5 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Mehmet Yıldırım

Seyyid Bilal Açıkgöz This is me

Fatma İnci Can This is me

Ahmet Nalbant This is me

Hakan Cinemre This is me

Ali Tamer This is me

Publication Date April 12, 2017
Submission Date February 28, 2016
Published in Issue Year 2017 Volume: 7 Issue: 1

Cite

AMA Yıldırım M, Açıkgöz SB, Can Fİ, Nalbant A, Cinemre H, Tamer A. Kolonoskopiyi Takiben Gelişen Akut Fosfat Nefropati Olgusu. Sakarya Tıp Dergisi. April 2017;7(1):1-1. doi:10.31832/smj.306322

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