Management of antacid impactions in hemodialysis and renal transplant patients

American Journal of Surgery
J P WelchS A Bartus

Abstract

Ten cases of intestinal obstruction caused by antacid impactions in renal transplant and hemodialysis patients were added to 16 reports in the literature. In six instances, operative intervention was necessary because of failure of vigorous medical therapy. Three patients who died had perforation of the colon at sites of stercoral ulceration due to firm antacid impactions. Aggressive medical and surgical management of constipation and fecal impaction is recommended. The outlook is grim once colonic perforation has occurred.

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Feb 1, 1993·Digestive Diseases and Sciences·J Y Kang
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Related Concepts

Teens
Antacids
Taenia Coli
Colonic Diseases
Hemodialysis
Intestinal Obstruction
Diagnostic Radiologic Examination
Rectum
Transplantation, Homologous
Kidney Transplantation

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