Metabolic alterations following continent urinary diversion through colonic segments

This study examined acid-base metabolism in patients with continent colonic urinary diversions and compared them to a control population. Diverted patients demonstrated mild acidosis and a urinary acidification defect. Ammonium chloride loading failed to demonstrate any major differences in the abil...

Full description

Saved in:

Bibliographic Details
Published in:	The Journal of urology Vol. 145; no. 2; p. 270
Main Authors:	Koch, M O, McDougal, W S, Reddy, P K, Lange, P H
Format:	Journal Article
Language:	English
Published:	United States 01-02-1991
Subjects:	Acid-Base Equilibrium - physiology Acid-Base Imbalance - etiology Ammonium Chloride Colon - surgery Humans Kidney - physiology Kidney Concentrating Ability - physiology Liver - physiology Urinary Diversion - adverse effects
Online Access:	Get more information
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	This study examined acid-base metabolism in patients with continent colonic urinary diversions and compared them to a control population. Diverted patients demonstrated mild acidosis and a urinary acidification defect. Ammonium chloride loading failed to demonstrate any major differences in the ability of these patients to handle an acute acid challenge. Continent colonic urinary diversions do not appear to create significant acid-base changes in patients with normal hepatic and renal function.
ISSN:	0022-5347
DOI:	10.1016/S0022-5347(17)38312-X