Cecum perforation associated with a calcium polystyrene sulfonate bezoar - a rare entity.

Author: FielDavid Carvalho, MalvarBeatriz, PiresCarlos, RibeiroSusana, SantosIolanda, SantosJoana Eugénio, SilvaArtur, VicenteRita

Paper Details 
Original Abstract of the Article :
Hyperkalemia is one of the most common electrolyte disorders, responsible for a high number of adverse outcomes, including life-threatening arrhythmias. Potassium binders are largely prescribed drugs used for hyperkalemia treatment but unfortunately, there are many adverse events associated with its...See full text at original site
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引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6788843/

データ提供:米国国立医学図書館(NLM)

A Hidden Danger: Calcium Polystyrene Sulfonate Bezoar

The world of [nephrology] is constantly seeking new and innovative approaches to managing [hyperkalemia], a condition where potassium levels in the blood are too high. This study focuses on the use of [calcium polystyrene sulfonate (CPS)], a medication commonly used to bind potassium in the gut and reduce its absorption. It's like a camel caravan facing a dangerous sandstorm – hyperkalemia can be a serious condition that can disrupt the body's delicate balance. This study explores a [rare complication] associated with CPS use: the formation of [bezoars], which are hard masses that can form in the digestive tract.

A Hidden Oasis: Understanding Bezoar Formation

The study describes a case of a patient who developed a [CPS bezoar] that led to [cecum perforation] and ultimately [death]. It's like discovering a hidden oasis that turns out to be a mirage – the use of CPS can have unforeseen consequences. The authors suggest that [previous history of partial gastrectomy and vagothomy] might be a [risk factor] for bezoar formation.

Navigating the Desert of Hyperkalemia Management: Finding Safer Alternatives

This study highlights the need for [ongoing vigilance] in monitoring patients who are taking CPS. It's like navigating a desert – we need to be aware of potential dangers and be prepared to adapt our approach. The authors suggest that [newer potassium binders] might offer [safer alternatives] for managing hyperkalemia in high-risk patients.

Dr. Camel's Conclusion

The desert of hyperkalemia management can be a treacherous place, and this study serves as a reminder that even seemingly safe medications can have unexpected side effects. It highlights the importance of ongoing research to develop safer and more effective treatments for this condition. While CPS remains a valuable tool for managing hyperkalemia in some patients, this study emphasizes the need to proceed with caution and explore alternative options for those at higher risk of complications.

Date :
  1. Date Completed 2020-04-06
  2. Date Revised 2020-04-08
Further Info :

Pubmed ID

30534857

DOI: Digital Object Identifier

PMC6788843

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Languages

English

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