Extremely rare cause of hyperkalemia: ileostomy‒induced hyperkalemia in extremely low birth weight infants
Background. Hyperkalemia is one of the most serious electrolyte disturbances, and it can cause lethal cardiac arrhythmia. Although hyperkalemia associated with ileostomies has been reported in adults, to the best of our knowledge, it has not previously been reported in neonates. Case. We report i...
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Hacettepe University Institute of Child Health
2024-07-01
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| Series: | The Turkish Journal of Pediatrics |
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| Online Access: | https://turkjpediatr.org/article/view/4541 |
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| author | Mehmet Mutlu Yakup Aslan Şebnem Kader Emine Ayça Cimbek Gül Şalcı |
| author_facet | Mehmet Mutlu Yakup Aslan Şebnem Kader Emine Ayça Cimbek Gül Şalcı |
| author_sort | Mehmet Mutlu |
| collection | DOAJ |
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Background. Hyperkalemia is one of the most serious electrolyte disturbances, and it can cause lethal cardiac arrhythmia. Although hyperkalemia associated with ileostomies has been reported in adults, to the best of our knowledge, it has not previously been reported in neonates.
Case. We report ileostomy‒induced hyperkalemia that persisted during the ileostomy and resolved promptly after the closure of the ileostomy in two extremely low birth weight (ELBW) infants, with birth weights of 850 g and 840 g and gestational ages of 27 weeks and 27 weeks 6 days.
Conclusions. These cases highlight that disruption of intestinal integrity in ELBW infants may cause hyperkalemia. Ensuring the integrity of the gastrointestinal tract plays an important role in the treatment of electrolyte disorders such as hyperkalemia in ELBW infants with an ileostomy.
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| format | Article |
| id | doaj-art-2e134f231c954bddb405d04d42dee994 |
| institution | OA Journals |
| issn | 0041-4301 2791-6421 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Hacettepe University Institute of Child Health |
| record_format | Article |
| series | The Turkish Journal of Pediatrics |
| spelling | doaj-art-2e134f231c954bddb405d04d42dee9942025-08-20T02:00:55ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212024-07-0166310.24953/turkjpediatr.2024.4541Extremely rare cause of hyperkalemia: ileostomy‒induced hyperkalemia in extremely low birth weight infantsMehmet Mutlu0https://orcid.org/0000-0001-5792-6718Yakup Aslan1https://orcid.org/0000-0001-9668-9559Şebnem Kader2https://orcid.org/0000-0001-7585-4228Emine Ayça Cimbek3https://orcid.org/0000-0002-7866-9228Gül Şalcı4https://orcid.org/0000-0001-9929-8369Division of Neonatology, Karadeniz Technical University, Faculty of Medicine, Trabzon, TürkiyeDivision of Neonatology, Karadeniz Technical University, Faculty of Medicine, Trabzon, TürkiyeDivision of Neonatology, Karadeniz Technical University, Faculty of Medicine, Trabzon, TürkiyeDivision of Pediatric Endocrinology, Karadeniz Technical University, Faculty of Medicine, Trabzon, TürkiyeDepartment of Pediatric Surgery, Karadeniz Technical University, Faculty of Medicine, Trabzon, Türkiye Background. Hyperkalemia is one of the most serious electrolyte disturbances, and it can cause lethal cardiac arrhythmia. Although hyperkalemia associated with ileostomies has been reported in adults, to the best of our knowledge, it has not previously been reported in neonates. Case. We report ileostomy‒induced hyperkalemia that persisted during the ileostomy and resolved promptly after the closure of the ileostomy in two extremely low birth weight (ELBW) infants, with birth weights of 850 g and 840 g and gestational ages of 27 weeks and 27 weeks 6 days. Conclusions. These cases highlight that disruption of intestinal integrity in ELBW infants may cause hyperkalemia. Ensuring the integrity of the gastrointestinal tract plays an important role in the treatment of electrolyte disorders such as hyperkalemia in ELBW infants with an ileostomy. https://turkjpediatr.org/article/view/4541extremely low birth weightprematureileostomyhyperkalemia |
| spellingShingle | Mehmet Mutlu Yakup Aslan Şebnem Kader Emine Ayça Cimbek Gül Şalcı Extremely rare cause of hyperkalemia: ileostomy‒induced hyperkalemia in extremely low birth weight infants The Turkish Journal of Pediatrics extremely low birth weight premature ileostomy hyperkalemia |
| title | Extremely rare cause of hyperkalemia: ileostomy‒induced hyperkalemia in extremely low birth weight infants |
| title_full | Extremely rare cause of hyperkalemia: ileostomy‒induced hyperkalemia in extremely low birth weight infants |
| title_fullStr | Extremely rare cause of hyperkalemia: ileostomy‒induced hyperkalemia in extremely low birth weight infants |
| title_full_unstemmed | Extremely rare cause of hyperkalemia: ileostomy‒induced hyperkalemia in extremely low birth weight infants |
| title_short | Extremely rare cause of hyperkalemia: ileostomy‒induced hyperkalemia in extremely low birth weight infants |
| title_sort | extremely rare cause of hyperkalemia ileostomy induced hyperkalemia in extremely low birth weight infants |
| topic | extremely low birth weight premature ileostomy hyperkalemia |
| url | https://turkjpediatr.org/article/view/4541 |
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