Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
The Successful Treatment of Sodium Polystyrene Sulfonate-induced Enteritis Diagnosed by Small Bowel Endoscopy
Kohei OkayamaYoshikazu HirataDaisuke KumaiYuki YamamotoYuki KojimaTakuya KannoHirokazu IkeuchiHisato MochizukiHiroki TakadaSatoshi Sobue
Author information
JOURNAL OPEN ACCESS

2018 Volume 57 Issue 11 Pages 1577-1581

Details
Abstract

Sodium polystyrene sulfonate (SPS: Kayexalate®) is an ion-exchange resin used to treat hyperkalemia in patients with chronic kidney disease. It is known that this resin sometimes causes colonic necrosis and perforation, but there are few reports about small bowel necrosis associated with SPS. We herein report the case of a patient who developed SPS-induced small bowel necrosis, which was diagnosed based on the examination of a small bowel endoscopic biopsy specimen. The SPS-induced small bowel necrosis was resistant to conservative treatment including the cessation of SPS, and finally required surgical bowel resection.

Content from these authors
© 2018 by The Japanese Society of Internal Medicine
Previous article Next article
feedback
Top