Urolithiasis in inflammatory bowel disease and bariatric surgery
Urolithiasis in inflammatory bowel disease and bariatric surgery作者机构：Department of Urology St James's University Hospital Department of Urology Tenon Hospital University Pierre and Marie Curie
出 版 物：《World Journal of Nephrology》 (世界肾病学杂志（英文版）)
年 卷 期：2016年第5卷第6期
页 面：538-546页
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Kidney stones Inflammatory bowel disease Bariatric surgery Crohn’s Ulcerative colitis Urolithiasis
摘 要：AIM To analyse current literature focusing on pathogenesis and therapeutic aspects of urolithiasis with inflammatory bowel disease(IBD) and following bariatric surgery. METHODS A systematic literature search was performed using PubMed, supplemented with additional references. Studies assessing the association of IBD or bariatric surgery with renal stones in both paediatric and adulthood were included. RESULTS Certain types of stones are seen more frequently with IBD. Hyperoxaluria and hypocitraturia are the main metabolic changes responsible for urolithiasis. The incidence of renal stones in malabsorptive types of bariatric surgery such as gastric bypass is high; this is not as common in modern restrictive surgical methods. Preventative methods and urine alkalinisation have been shown to be *** Both conditions are associated with renal stones. Patients counselling and prevention strategies are the mainstay of urolithiasis management in these patients.
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