Colonic necrosis in a young patient receiving oral kayexalate in sorbitol: Case report and literature review

Kayexalate (sodium polystyrene sulfonate) is a cation-exchange resin used to treat patients with hyperkalemia. Concomitant administration of kayexalate and sorbitol may induce gastrointestinal injury, which is potentially lethal. However, this well-documented complication is often underrecognized bo...

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Main Authors: Yueh-Hung Chou, Hsin-Yi Wang, Min-Shu Hsieh, 周岳弘, 王馨儀, 謝明書
Format: Article
Language:English
Published: Wiley 2011-04-01
Series:Kaohsiung Journal of Medical Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1607551X10000458
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author Yueh-Hung Chou
Hsin-Yi Wang
Min-Shu Hsieh
周岳弘
王馨儀
謝明書
author_facet Yueh-Hung Chou
Hsin-Yi Wang
Min-Shu Hsieh
周岳弘
王馨儀
謝明書
author_sort Yueh-Hung Chou
collection DOAJ
description Kayexalate (sodium polystyrene sulfonate) is a cation-exchange resin used to treat patients with hyperkalemia. Concomitant administration of kayexalate and sorbitol may induce gastrointestinal injury, which is potentially lethal. However, this well-documented complication is often underrecognized both clinically and pathologically. We propose a typical case along with colonoscopic photos and microscopic pictures. Additionally, we also present a review of the literature on this rare drug-induced side effect.
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spelling doaj.art-bdb6648122be4a90b7277c3a67d1726a2022-12-22T03:57:02ZengWileyKaohsiung Journal of Medical Sciences1607-551X2011-04-0127415515810.1016/j.kjms.2010.12.010Colonic necrosis in a young patient receiving oral kayexalate in sorbitol: Case report and literature reviewYueh-Hung Chou0Hsin-Yi Wang1Min-Shu Hsieh2周岳弘3王馨儀4謝明書5Department of Anatomical Pathology, Far Eastern Memorial Hospital, Taipei, TaiwanDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartment of Pathology, National Taiwan University Hospital Yun-Lin Branch, TaiwanDepartment of Anatomical Pathology, Far Eastern Memorial Hospital, Taipei, TaiwanDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartment of Pathology, National Taiwan University Hospital Yun-Lin Branch, TaiwanKayexalate (sodium polystyrene sulfonate) is a cation-exchange resin used to treat patients with hyperkalemia. Concomitant administration of kayexalate and sorbitol may induce gastrointestinal injury, which is potentially lethal. However, this well-documented complication is often underrecognized both clinically and pathologically. We propose a typical case along with colonoscopic photos and microscopic pictures. Additionally, we also present a review of the literature on this rare drug-induced side effect.http://www.sciencedirect.com/science/article/pii/S1607551X10000458Gastrointestinal injuryIschemic enterocolitisKayexalateSodium polystyrene sulfonateSorbitol
spellingShingle Yueh-Hung Chou
Hsin-Yi Wang
Min-Shu Hsieh
周岳弘
王馨儀
謝明書
Colonic necrosis in a young patient receiving oral kayexalate in sorbitol: Case report and literature review
Kaohsiung Journal of Medical Sciences
Gastrointestinal injury
Ischemic enterocolitis
Kayexalate
Sodium polystyrene sulfonate
Sorbitol
title Colonic necrosis in a young patient receiving oral kayexalate in sorbitol: Case report and literature review
title_full Colonic necrosis in a young patient receiving oral kayexalate in sorbitol: Case report and literature review
title_fullStr Colonic necrosis in a young patient receiving oral kayexalate in sorbitol: Case report and literature review
title_full_unstemmed Colonic necrosis in a young patient receiving oral kayexalate in sorbitol: Case report and literature review
title_short Colonic necrosis in a young patient receiving oral kayexalate in sorbitol: Case report and literature review
title_sort colonic necrosis in a young patient receiving oral kayexalate in sorbitol case report and literature review
topic Gastrointestinal injury
Ischemic enterocolitis
Kayexalate
Sodium polystyrene sulfonate
Sorbitol
url http://www.sciencedirect.com/science/article/pii/S1607551X10000458
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