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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Citations

Feb 1, 1993·Digestive Diseases and Sciences·J Y Kang
Jul 26, 2000·Diseases of the Colon and Rectum·C A MaurerM W Büchler
Mar 17, 1983·The New England Journal of Medicine·C E Welch, R A Malt
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Sep 7, 1989·The New England Journal of Medicine·K Wrenn
Aug 1, 1985·Anaesthesia and Intensive Care·K Hillman

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