Chronic renal failure secondary to oxalate nephropathy: A preventable complication after jejunoileal bypass

Imran Hassan, Luis A. Juncos, Dawn S. Milliner, Juan M. Sarmiento, Michael G. Sarr

Research output: Contribution to journalArticle

40 Scopus citations

Abstract

Enteric hyperoxaluria is a commonly seen adverse event after the jejunoileal bypass procedure. The increased concentration of urinary oxalate predisposes bypass patients to various renal complications such as nephrolithiasis and oxalate nephropathy. If not diagnosed and appropriately treated, these complications can lead to irreversible renal damage. We describe 3 patients in whom severe renal complications developed with irreversible compromise of renal function after a jejunoileal bypass. Patients who undergo a jejunoileal bypass require lifelong follow-up with close monitoring of their renal function. Marked decline in renal function mandates prompt investigation and aggressive intervention, including reversal of the jejunoileal bypass if necessary. Chronic renal failure secondary to oxalate nephropathy is preventable and treatable but may require conversion of a jejunoileal bypass to a more current form of bypass.

Original languageEnglish (US)
Article number65009
Pages (from-to)758-760
Number of pages3
JournalMayo Clinic proceedings
Volume76
Issue number7
DOIs
StatePublished - Jan 1 2001

ASJC Scopus subject areas

  • Medicine(all)

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    Hassan, I., Juncos, L. A., Milliner, D. S., Sarmiento, J. M., & Sarr, M. G. (2001). Chronic renal failure secondary to oxalate nephropathy: A preventable complication after jejunoileal bypass. Mayo Clinic proceedings, 76(7), 758-760. [65009]. https://doi.org/10.4065/76.7.758