Comprehensive nutritional assessment in short bowel syndrome with chronic renal failure on teduglutide therapy: A case report

Nutrition ◽  
2020 ◽  
Vol 73 ◽  
pp. 110720
Author(s):  
Valeria Borioli ◽  
Emanuele Cereda ◽  
Federica Lobascio ◽  
Caterina Mengoli ◽  
Marilisa Caraccia ◽  
...  
Keyword(s):  
Renal Failure ◽  
Case Report ◽  
Chronic Renal Failure ◽  
Short Bowel Syndrome ◽  
Nutritional Assessment ◽  
Short Bowel

Hyperammonemia in a Patient with Short Bowel Syndrome and Chronic Renal Failure

Nephron ◽  
1996 ◽  
Vol 72 (4) ◽  
pp. 693-695 ◽  
Author(s):  
Keitaro Yokoyama ◽  
Yosuke Ogura ◽  
Masateru Kawabata ◽  
Fumihiko Hinoshita ◽  
Yoshio Suzuki ◽  
...  
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Short Bowel Syndrome ◽  
Short Bowel

scholarly journals Colectomy and Acute Renal Failure: A Case Report with Unusual Presentation

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Osman Zikrullah Sahin ◽  
Cemil Bilir ◽  
Teslime Ayaz
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Case Report ◽  
Serum Creatinine ◽  
Short Bowel Syndrome ◽  
Normal Serum ◽  
Short Bowel ◽  
Regular Treatment ◽  
First Case ◽  
Normal Serum Creatinine

Surgery is the only curative modality but occasionally it can have some long term complication such as short bowel syndrome. We presented a case reporting a 63-year-old man who had subtotal colectomy with liver metastasectomy according to the colon adenocarcinoma, following the couple of months of surgery; he had acute kidney injury without any end-organ damage while he had a regular diet and nutrition. Following the regular treatment of renal failure, colorectal cancer recurrence was excluded and then he was discharged from the hospital with a normal serum creatinine level. The patient was admitted to the nephrology clinic again for acute renal failure within 3 weeks of last admission to the hospital. He also denied the insufficient oral water intake and nutrition, but laboratory examination revealed acute renal failure. We suspected for short bowel syndrome (SBS). Following the hydration, loperamide hydrochloride 10 mg/day was started and the patient was followed up with normal serum creatinine and uric acid levels. To the best of our knowledge, this is the first case report, in which a patient with short bowel syndrome presented with prerenal acute renal failure even though he had sufficient oral intake and nutrition and can be treated with hydration and loperamide hydrochloride.

Apresentação e Evolução Atípicas da Granulomatose de Wegener: Relato de Caso/Atypical Presentation and Evolution of Wegener's Granulomatosis: Case Report

1970 ◽  
Vol 5 (3) ◽  
pp. 53-67
Author(s):  
Aline Dos Santos ◽  
Ana Caroline Balducci Scafi ◽  
Luciene Azevedo Morais ◽  
Pablo Girardelli Mendonça Mesquita
Keyword(s):  
Renal Failure ◽  
Renal Function ◽  
Case Report ◽  
Chronic Renal Failure ◽  
Early Diagnosis ◽  
Wegener’S Granulomatosis ◽  
Immunosuppressive Treatment ◽  
Clinical Manifestations ◽  
Wegener's Granulomatosis ◽  
Creatinine Concentration

RESUMOIntrodução: A Granulomatose de Wegener (GW) é uma vasculite rara e idiopática associada à presença do anticorpo Anticitoplasma de Neutrófilo (ANCA) que acomete, preferencialmente, os pequenos vasos. As manifestações clínicas são diversas, ocorrendo em mais de 90% dos casos, sintomas do trato respiratório. O comprometimento renal é tardio e preditor de mau prognóstico.  Sua morbidade a médio e longo prazo inclui insuficiência renal crônica. A probabilidade de sucesso de manutenção da função renal depende da concentração sérica de creatinina ao início do tratamento, o que indica a importância do diagnóstico e terapêutica adequada precoces. Casuística: Relata-se o caso de uma paciente do sexo feminino, 61 anos, portadora de GW com comprometimento renal avançado à apresentação não precedido por sintomas pulmonares esperados. O tratamento imunossupressor associado a plasmaferese permitiu a melhora da função renal da paciente poupando-a de tornar-se dialítica- dependente. Discussão: A paciente iniciou a doença através de insuficiência renal assintomática, com valores de função renal compatíveis com o estágio mais avançado de doença renal crônica, ultrassonografia dos rins sem alterações compatíveis e sem os sintomas respiratórios esperados. Segundo a literatura, a combinação de imunossupressores e plasmaferese associa-se à recuperação renal em três meses com sobrevivência sem necessidade de diálise por 12 meses, no caso relatado, obteve-se tal resultado em 22 dias sem a necessidade de diálise após um ano. Conclusão: Devido ao diagnóstico precoce, o tratamento adequado foi instalado rapidamente proporcionando à paciente um aumento da expectativa e da qualidade de vida, evitando dependência de terapia renal substitutiva.Palavras-Chave: Granulomatose de Wegener, Plasmaferese, Doença renal crônica.  ABSTRACTIntroduction: The Wegener's Granulomatosis (WG) is a rare and idiopathic vasculitis associated with the presence of Antineutrophil Cytoplasmic Antibody (ANCA), that affects, preferentially, the small vessels. The clinical manifestations are diverse, occurring in over 90% of cases, symptoms in the respiratory tract. Kidney damage is a late and bad prognostic predictor. Morbidity in the medium and long term includes chronic renal failure. The probability of renal function maintenance success depends on serum creatinine concentration at the beginning of treatment that indicates the importance of early diagnosis and deployment of an appropriate therapy. Case Report: We present a case of a 61-year-old female patient, carrier of GW with advanced renal impairment presentation, not preceded by expected pulmonary symptoms. The immunosuppressive treatment associated with plasmapheresis allowed the improvement of the patient’s renal function, saving her from becoming dialysis-dependent Discussion: The patient developed the disease through asymptomatic renal failure, renal function with values that are compatible with the most advanced stage of chronic kidney disease, ultrasound of the kidneys without compatible changes and without the expected respiratory symptoms. According to the literature, the combination of immunosuppressive drugs and plasmapheresis is associated with renal recovery in three months with survival without dialysis for 12 months. In this case, a result was obtained in 22 days without the need for dialysis after one year. Conclusion: Due to the early diagnosis, appropriate treatment was quickly installed giving the patient increased life expectancy and quality, preventing dependence on renal replacement therapy.Keywords: Wegener’s granulomatosis, Plasmapheresis, Chronic renal failure.

Do previous acid reducing procedures protect patients from short bowel syndrome?—A case report

1995 ◽  
Vol 27 (4) ◽  
pp. 223-225 ◽  
Author(s):  
A. Calik ◽  
U. Kucuktulu ◽  
Y. Bilgin ◽  
A. Cinel ◽  
E. Alhan ◽  
...  
Keyword(s):  
Case Report ◽  
Short Bowel Syndrome ◽  
Short Bowel

scholarly journals Posterior migration of lumbar disc herniation - imaging dilemma due to contrast contraindication: a case report

2012 ◽  
Vol 45 (3) ◽  
pp. 170-172 ◽  
Author(s):  
Fabrício Guimarães Gonçalves ◽  
Prasad Baladev Hanagandi ◽  
Carlos Ignacio Torres ◽  
Raquel DelCarpio-O'Donovan
Keyword(s):  
Magnetic Resonance Imaging ◽  
Renal Failure ◽  
Case Report ◽  
Chronic Renal Failure ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Resonance Imaging ◽  
Diagnostic Dilemma ◽  
Diagnostic Modality ◽  
Posterior Migration

Disc herniation with posterior epidural migration is a rare and often symptomatic entity. Multiple are the natural barriers that prevent this pattern of migration. Enhanced magnetic resonance imaging is the diagnostic modality of choice in these cases. The diagnostic dilemma in this case was the contraindication to the use of contrast since the patient was known to have chronic renal failure.

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