Hyperchloremic Metabolic Acidosis Following Total Gut Irrigation with Normal Saline in Pediatric Patients: A Rare Occurrence

Use of 0.9% sodium chloride for total gut irrigation (TGI) through nasogastric route is an effective method of bowel preparation in children undergoing colorectal surgeries. TGI with normal saline (NS) can result in nausea, vomiting, abdominal distension, and mild electrolyte imbalance; however, hyp...

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Autores principales: Bala, Indu, Dwivedi, Deepak, Jain, Divya, Mahajan, Jai Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5278593/
https://www.ncbi.nlm.nih.gov/pubmed/28197054
http://dx.doi.org/10.4103/0972-5229.198329
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author Bala, Indu
Dwivedi, Deepak
Jain, Divya
Mahajan, Jai Kumar
author_facet Bala, Indu
Dwivedi, Deepak
Jain, Divya
Mahajan, Jai Kumar
author_sort Bala, Indu
collection PubMed
description Use of 0.9% sodium chloride for total gut irrigation (TGI) through nasogastric route is an effective method of bowel preparation in children undergoing colorectal surgeries. TGI with normal saline (NS) can result in nausea, vomiting, abdominal distension, and mild electrolyte imbalance; however, hyperchloremic metabolic acidosis has not been documented. We report two cases of hyperchloremic metabolic acidosis in children posted for colorectal surgery following TGI with NS who were successfully managed.
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spelling pubmed-52785932017-02-14 Hyperchloremic Metabolic Acidosis Following Total Gut Irrigation with Normal Saline in Pediatric Patients: A Rare Occurrence Bala, Indu Dwivedi, Deepak Jain, Divya Mahajan, Jai Kumar Indian J Crit Care Med Case Report Use of 0.9% sodium chloride for total gut irrigation (TGI) through nasogastric route is an effective method of bowel preparation in children undergoing colorectal surgeries. TGI with normal saline (NS) can result in nausea, vomiting, abdominal distension, and mild electrolyte imbalance; however, hyperchloremic metabolic acidosis has not been documented. We report two cases of hyperchloremic metabolic acidosis in children posted for colorectal surgery following TGI with NS who were successfully managed. Medknow Publications & Media Pvt Ltd 2017-01 /pmc/articles/PMC5278593/ /pubmed/28197054 http://dx.doi.org/10.4103/0972-5229.198329 Text en Copyright: © 2017 Indian Journal of Critical Care Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Bala, Indu
Dwivedi, Deepak
Jain, Divya
Mahajan, Jai Kumar
Hyperchloremic Metabolic Acidosis Following Total Gut Irrigation with Normal Saline in Pediatric Patients: A Rare Occurrence
title Hyperchloremic Metabolic Acidosis Following Total Gut Irrigation with Normal Saline in Pediatric Patients: A Rare Occurrence
title_full Hyperchloremic Metabolic Acidosis Following Total Gut Irrigation with Normal Saline in Pediatric Patients: A Rare Occurrence
title_fullStr Hyperchloremic Metabolic Acidosis Following Total Gut Irrigation with Normal Saline in Pediatric Patients: A Rare Occurrence
title_full_unstemmed Hyperchloremic Metabolic Acidosis Following Total Gut Irrigation with Normal Saline in Pediatric Patients: A Rare Occurrence
title_short Hyperchloremic Metabolic Acidosis Following Total Gut Irrigation with Normal Saline in Pediatric Patients: A Rare Occurrence
title_sort hyperchloremic metabolic acidosis following total gut irrigation with normal saline in pediatric patients: a rare occurrence
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5278593/
https://www.ncbi.nlm.nih.gov/pubmed/28197054
http://dx.doi.org/10.4103/0972-5229.198329
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