Metabolic and Electrolyte Abnormalities Related to Use of Bowel in Urologic Reconstruction

Many urologic reconstructive techniques involve the use of autologous bowel for urinary diversion and bladder augmentation. The resection of bowel and its reimplantation into the urinary system often comes with a variety of metabolic and electrolyte derangements, depending on the type of bowel used and the quantity of urine it is exposed to in its final anatomic position. Clinicians should be aware of these potential complications due to the serious consequences that may result from uncorrected electrolyte disturbances. This article reviews the common electrolyte complications related to both bowel resection and the interposition of bowel within the urinary tract.

The Nursing clinics of North America. 2017 Jun [Epub]

Amanda N Squiers, Karleena Twitchell

Oregon Health Science University School of Nursing, 3455 Southwest US Veterans Hospital Road, Portland, OR 97239, USA; Department of Urologic Surgery, Oregon Health Science University School of Medicine, 3455 Southwest US Veterans Hospital Road, Portland, OR 97239, USA. Electronic address: ., Oregon Health Science University School of Nursing, 3455 Southwest US Veterans Hospital Road, Portland, OR 97239, USA; Division of Cardiac and Surgical Subspecialty Critical Care, Department of Anesthesiology, Oregon Health Science University School of Medicine, 3455 Southwest US Veterans Hospital Road, Portland, OR 97239, USA.