scholarly journals A brief grief over bowel relief

F1000Research ◽  
2013 ◽  
Vol 2 ◽  
pp. 26 ◽  
Author(s):  
Kamalpreet S Parmar ◽  
Malvinder S Parmar
Keyword(s):  
Chronic Kidney Disease ◽  
Renal Failure ◽  
Acute Renal Failure ◽  
Kidney Disease ◽  
Bowel Preparation ◽  
Sodium Phosphate ◽  
Careful Monitoring ◽  
Oral Sodium Phosphate ◽  
Oral Sodium

Oral sodium phosphate (OSP) solution is commonly used as bowel purgative before colonoscopy. Its safety has recently been questioned with several reports of acute renal failure and chronic kidney disease following its use. All of the cases reported are following bowel preparation for colonoscopy. I present a case of acute renal failure following OSP solution given to relieve constipation. This report further highlights the dangers of OSP and the importance of caution and careful monitoring when OSP solution is used as a cathartic, or for bowel preparation before colonoscopy.

Acute renal failure following oral sodium phosphate bowel preparation: a nationwide case-crossover study

Endoscopy ◽  
2014 ◽  
Vol 46 (06) ◽  
pp. 465-470 ◽  
Author(s):  
Nam-Kyong Choi ◽  
Joongyub Lee ◽  
Yoosoo Chang ◽  
Ye-Jee Kim ◽  
Ju-Young Kim ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Crossover Study ◽  
Bowel Preparation ◽  
Sodium Phosphate ◽  
Case Crossover ◽  
Oral Sodium Phosphate ◽  
Oral Sodium

Acute Renal Failure Following Oral Sodium Phosphate Bowel Preparation in Diabetes

Diabetes Care ◽  
2006 ◽  
Vol 30 (1) ◽  
pp. 182-183 ◽  
Author(s):  
R. C.W. Ma ◽  
C. C. Chow ◽  
V. T.F. Yeung ◽  
W. Y. So ◽  
A. P.S. Kong ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Bowel Preparation ◽  
Sodium Phosphate ◽  
Oral Sodium Phosphate ◽  
Oral Sodium

143: Oral Sodium Phosphate Laxative Associated Acute Renal Failure

2008 ◽  
Vol 51 (4) ◽  
pp. B63
Author(s):  
Kelly Liang ◽  
Iasmina Craici ◽  
Kianoush Kashani ◽  
Hatem Amer ◽  
John Dillon
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Sodium Phosphate ◽  
Oral Sodium Phosphate ◽  
Oral Sodium

Renal Failure and Nephrocalcinosis Associated With Oral Sodium Phosphate Bowel Cleansing: Clinical Patterns and Renal Biopsy Findings

2006 ◽  
Vol 130 (1) ◽  
pp. 101-106 ◽  
Author(s):  
Gulfiliz Gonlusen ◽  
Hulya Akgun ◽  
Atilla Ertan ◽  
Juan Olivero ◽  
Luan D. Truong
Keyword(s):  
Renal Failure ◽  
Renal Function ◽  
Renal Biopsy ◽  
Bowel Preparation ◽  
Sodium Phosphate ◽  
Renal Tubules ◽  
Tubulointerstitial Injury ◽  
Bowel Cleansing ◽  
Oral Sodium Phosphate ◽  
Oral Sodium

Abstract Acute renal failure (ARF) is rarely reported after bowel preparation with sodium phosphate. We report a patient with mild Crohn disease (in remission), without history of renal disease, and with normal baseline renal function, who developed ARF 14 days after bowel preparation for colonoscopy with oral sodium phosphate. A renal biopsy showed multifocal calcium phosphate deposition in the renal tubules against a background of diffuse chronic tubulointerstitial injury. Review of the literature suggested 2 distinct patterns of ARF in the context of sodium phosphate bowel cleansing. One pattern is characterized by ARF, which develops a few hours or days after sodium phosphate administration, as a component of a systemic syndrome associated with severe hyperphosphatemia and hypocalcemia. Correction of these electrolyte abnormalities was frequently associated with rapid recovery of renal function. The cause of ARF in this context was not clear because the favorable outcome negated the need for renal biopsy. In the second pattern, exemplified by the current patient, ARF was identified incidentally. These patients did not have any features of an acute syndrome immediately after sodium phosphate administration and presented much later (usually weeks) with mild, nonspecific symptoms. At the time of presentation, the serum calcium and phosphate levels were normal. The renal biopsies in each of these patients showed nephrocalcinosis as the possible cause of ARF. The renal failure improved at least partially in most of these patients, but persisted in rare cases.

HIV-associated kidney disease in the context of an aging population

Sexual Health ◽  
2011 ◽  
Vol 8 (4) ◽  
pp. 485 ◽  
Author(s):  
Claire Naftalin ◽  
Bavithra Nathan ◽  
Lisa Hamzah ◽  
Frank A. Post
Keyword(s):  
Chronic Kidney Disease ◽  
Renal Failure ◽  
Acute Renal Failure ◽  
Risk Factor ◽  
Antiretroviral Therapy ◽  
Kidney Disease ◽  
General Population ◽  
Life Expectancy ◽  
Hiv Care ◽  
Developed World

Acute renal failure and chronic kidney disease are more common in HIV-infected patients compared with the general population. Several studies have shown age to be a risk factor for HIV-associated kidney disease. The improved life expectancy of HIV-infected patients as a result of widespread use of antiretroviral therapy has resulted in progressive aging of HIV cohorts in the developed world, and an increased burden of cardiovascular and kidney disease. Consequently, HIV care increasingly needs to incorporate strategies to detect and manage these non-infectious co-morbidities.

scholarly journals Massive hyperphosphatemia in a patient with neuronal intestinal dysplasia after bowel preparation with oral sodium phosphate

Renal Failure ◽  
2013 ◽  
Vol 35 (6) ◽  
pp. 875-878 ◽  
Author(s):  
Hakki Arikan ◽  
Derya Guler ◽  
Gurdal Birdal ◽  
Serdar Nalcaci ◽  
Emre Aykut ◽  
...  
Keyword(s):  
Bowel Preparation ◽  
Sodium Phosphate ◽  
Neuronal Intestinal Dysplasia ◽  
Oral Sodium Phosphate ◽  
Oral Sodium
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