Severe metabolic alkalosis due to pyloric obstruction: Case presentation, evaluation, and management

American Journal of the Medical Sciences

Volumn 332, Issue 6, 2006, Pages 346-350

  Mccauley, Meredith ^a   Gunawardane, Manjula ^a   Cowan, Mark J ^a,b  

^a UNIVERSITY OF MARYLAND   (United States)

^b UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE   (United States)

Author keywords

0Chloride nonresponsive alkalosis; Chloride responsive alkalosis; Emesis; Gastric outlet obstruction; Hypocalcemia; Hypokalemia; Metabolic alkalosis; Peptic ulcer disease

Indexed keywords

CHLORIDE;

ADULT; ARTICLE; ARTIFICIAL VENTILATION; BALLOON DILATATION; CASE REPORT; DIFFERENTIAL DIAGNOSIS; DISEASE SEVERITY; DISORDERS OF ACID BASE BALANCE; EMERGENCY WARD; ESOPHAGOGASTRODUODENOSCOPY; HUMAN; HYPOKALEMIA; MALE; METABOLIC ALKALOSIS; MORTALITY; PYLORUS STENOSIS; RESPIRATORY FAILURE; RESPIRATORY TRACT INTUBATION;

ALKALOSIS; GASTRIC OUTLET OBSTRUCTION; HUMANS; MALE; MIDDLE AGED; STOMACH ULCER;

EID: 33845777968     PISSN: 00029629     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000441-200612000-00007     Document Type: Article

References (20)

1. Black RM. Metabolic acidosis and metabolic alkalosis. In: Irwin RS, Cerra FB, Rippe JM, et al, editors. Intensive Care Medicine, 4th ed. Philadelphia: Lippincott-Raven; 1999: 926-40.
2. Anderson LE, Henrich WL. Alkalemia-associated morbidity and mortality in medical and surgical patients. South Med J 1987;80:729-33.
3. Wilson RF, Gibson D, Percinel AK, et al. Severe alkalosis in critically ill surgical patients. Arch Surg 1972;105:197-203.
4. Sherman RA, Eisinger RP. The use (and misuse) of urinary sodium and chloride measurements. JAMA 1982;247:3121-4.
5. Admundson DE, Diamant J. Severe metabolic alkalosis. South Med J 1994;87:275-7.
6. Knutsen OH. New method for administration of hydrochloric acid in metabolic acidosis. Lancet 1983;1:953-6.
7. Swartz RD, Rubin JE, Brown RS, et al. Correction of postoperative metabolic alkalosis and renal failure by hemodialysis. Ann Intern Med 1977;86:52-5.
8. Goidsenhoven GMT, Gray OV, Price AV, et al. The effect of prolonged administration of large doses of sodium bicarbonate in man. Clin Sci 1954;13:383.
9. Lavie CJ, Crocker EF Jr, Key KJ, et al. Marked hypochloremic metabolic alkalosis with severe compensatory hypoventilation. South Med J 1986;79:1296-9.
10. Javaheri SJ, Shore NS, Rose B, et al. Compensatory hypoventilation in metabolic alkalosis. Chest 1982;81:296-301.
11. Galla JH. Metabolic alkalosis. J Am Soc Nephrol 2000;11:369-75.
12. Longenecker JC. High yield acid-base. Philadelphia: Williams & Wilkins; 1998:1-100.
13. Effros RM, Widell J. Acid-base balance. In: Murray JF, Nadel JA, editors. Textbook of Respiratory Medicine, 3rd edition. Philadelphia: WB Saunders; 2000:155-78.
14. Perez GO, Oster JR, Rogers A. Acid-base disturbances in gastrointestinal disease. Dig Dis Sci 1987;32:1033-43.
15. Wight CO, Seed M, Yeo WW, et al. Gastric outflow obstruction caused by gall stones and leading to death by complex metabolic derangement. J Clin Path 1997;50:963-5.
16. Whorwood CB, Sheppard MC, Stewart PM. Licorice inhibits 11 beta-hydroxysteroid dehydrogenase messenger ribonucleic acid levels and potentiates glucocorticoid hormone action. Endocrinology 1993;132:2287-92.
17. Bartter FC, Pronove P, Gill JR Jr, et al. Hyperplasia of the juxtaglomerular complex with hyperaldosteronism and hypokalemic alkalosis: a new syndrome. Am J Med 1962;33:811-28.
18. Webster NR, Kulkarni V. Metabolic alkalosis in the critically ill. Crit Rev Clin Lab Sci 1999;36:497-510.
19. Kapoor M, Chan GZ. Fluid and electrolyte abnormalities. Crit Care Clin 2001;17:503-29.
20. Khanna A, Kurtzman NA. Metabolic alkalosis. Respir Care 2001;46:354-65.