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Metabolic acidosis in short bowel syndrome: think D-lactic acid acidosis

Year: 2018

Type: article

Abstract: Short bowel syndrome (SBS) is a condition when a person's gastrointestinal function is insufficient to supply the body with essential nutrients and hydration. Patients with SBS suffer from diarrhoea and symptoms of malabsorption such as weight loss, electrolyte disturbances and vitamin deficiencies. Long-term management of this condition can be complicated by the underlying disease, the abnormal bowel function and issues related to treatment like administration of parenteral nutrition and the use of a central venous catheter. Here, we describe a case of D-lactic acid acidosis, a rarer complication of SBS, presenting with generalised weakness and severe metabolic acidosis.

Source: BMJ Case Reports

DOI: 10.1136/bcr-2018-224221

Authors: Sorin Stanciu, Aminda De Silva

Institutions: Royal Berkshire Hospital, Royal Berkshire NHS Foundation Trust

Language: English

Topic: Clinical Nutrition and Gastroenterology

Subfield: Nutrition and Dietetics

Field: Nursing

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W2804530402

FWCI: 0.401

Cites: 8

Cited by: 7

Related to: 10