Intestinal pseudoobstruction due to lanthanum carbonate
SEUDOOCLUSIÓN INTESTINAL POR CARBONATO DE LANTANO
Read
5812
Timeswas read the article
1925
Total PDF
3887
Total HTML
Share statistics
array:21 [ "pii" => "X2013251410035694" "issn" => "20132514" "doi" => "10.3265/Nefrologia.pre2010.Mar.10311" "estado" => "S300" "fechaPublicacion" => "2010-05-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2010;30:376" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3162 "formatos" => array:3 [ "EPUB" => 258 "HTML" => 2462 "PDF" => 442 ] ] "Traduccion" => array:1 [ "es" => array:17 [ "pii" => "X0211699510035697" "issn" => "02116995" "doi" => "10.3265/Nefrologia.pre2010.Mar.10311" "estado" => "S300" "fechaPublicacion" => "2010-05-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia. 2010;30:376" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 11283 "formatos" => array:3 [ "EPUB" => 282 "HTML" => 10450 "PDF" => 551 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "SEUDOOCLUSIÓN INTESTINAL POR CARBONATO DE LANTANO" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "376" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Intestinal pseudoobstruction due to lanthanum carbonate" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Alfonso Pobes Martínez de Salinas, Isabel Blanco Rodríguez, Luis Quiñones Ortiz, Ana Suárez Laurés" "autores" => array:5 [ 0 => null 1 => array:2 [ "nombre" => "Alfonso" "apellidos" => "Pobes Martínez de Salinas" ] 2 => array:2 [ "nombre" => "Isabel" "apellidos" => "Blanco Rodríguez" ] 3 => array:2 [ "nombre" => "Luis" "apellidos" => "Quiñones Ortiz" ] 4 => array:2 [ "nombre" => "Ana" "apellidos" => "Suárez Laurés" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "X2013251410035694" "doi" => "10.3265/Nefrologia.pre2010.Mar.10311" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410035694?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699510035697?idApp=UINPBA000064" "url" => "/02116995/0000003000000003/v0_201502091325/X0211699510035697/v0_201502091326/es/main.assets" ] ] "itemSiguiente" => array:17 [ "pii" => "X2013251410035866" "issn" => "20132514" "doi" => "10.3265/Nefrologia.pre2010.Apr.10350" "estado" => "S300" "fechaPublicacion" => "2010-05-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2010;30:378-80" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 7729 "formatos" => array:3 [ "EPUB" => 280 "HTML" => 6668 "PDF" => 781 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Decrease in renal function associated with hypothyroidism" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "378" "paginaFinal" => "380" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Deterioro de Función Renal Asociado a Hipotiroidismo" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "10350_18030_5960_en_figure1.jpg" "Alto" => 350 "Ancho" => 519 "Tamanyo" => 105145 ] ] "descripcion" => array:1 [ "en" => "Progression after stant of levothyroxine treatment." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Vladimir Petkov Stoyanov, Juan A. Martín Navarro, Evangelina Mérida Herrero, Mª José Gutiérrez Sánchez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Vladimir" "apellidos" => "Petkov Stoyanov" ] 1 => array:2 [ "nombre" => "Juan A." "apellidos" => "Martín Navarro" ] 2 => array:2 [ "nombre" => "Evangelina" "apellidos" => "Mérida Herrero" ] 3 => array:2 [ "nombre" => "Mª José" "apellidos" => "Gutiérrez Sánchez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "X0211699510035869" "doi" => "10.3265/Nefrologia.pre2010.Apr.10350" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699510035869?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410035866?idApp=UINPBA000064" "url" => "/20132514/0000003000000003/v0_201502091603/X2013251410035866/v0_201502091604/en/main.assets" ] "itemAnterior" => array:17 [ "pii" => "X2013251410035858" "issn" => "20132514" "doi" => "10.3265/Nefrologia.pre2010.Apr.10354" "estado" => "S300" "fechaPublicacion" => "2010-05-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2010;30:376-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 5631 "formatos" => array:3 [ "EPUB" => 277 "HTML" => 4759 "PDF" => 595 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Pregnancy and advanced chronic kidney disease" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "376" "paginaFinal" => "378" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "GESTACIÓN EN ENFERMEDAD RENAL CRÓNICA AVANZADA." ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "10354_18030_5954_en_figure1.jpg" "Alto" => 327 "Ancho" => 519 "Tamanyo" => 127973 ] ] "descripcion" => array:1 [ "en" => "Laboratory parameters progression over the follow-up period. Follow-up at 3 months after the beginning of pregnancy and then monthly." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jose Luis Merino, Beatriz Espejo, Pilar Ferreiro, Blanca Bueno, Vicente Paraiso" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Jose Luis" "apellidos" => "Merino" ] 1 => array:2 [ "nombre" => "Beatriz" "apellidos" => "Espejo" ] 2 => array:2 [ "nombre" => "Pilar" "apellidos" => "Ferreiro" ] 3 => array:2 [ "nombre" => "Blanca" "apellidos" => "Bueno" ] 4 => array:2 [ "nombre" => "Vicente" "apellidos" => "Paraiso" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "X0211699510035850" "doi" => "10.3265/Nefrologia.pre2010.Apr.10354" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699510035850?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410035858?idApp=UINPBA000064" "url" => "/20132514/0000003000000003/v0_201502091603/X2013251410035858/v0_201502091604/en/main.assets" ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Intestinal pseudoobstruction due to lanthanum carbonate" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "376" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Alfonso Pobes Martínez de Salinas, Isabel Blanco Rodríguez, Luis Quiñones Ortiz, Ana Suárez Laurés" "autores" => array:5 [ 0 => array:1 [ "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 1 => array:3 [ "nombre" => "Alfonso" "apellidos" => "Pobes Martínez de Salinas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] 2 => array:3 [ "nombre" => "Isabel" "apellidos" => "Blanco Rodríguez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "affc" ] ] ] 3 => array:3 [ "nombre" => "Luis" "apellidos" => "Quiñones Ortiz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] 4 => array:4 [ "nombre" => "Ana" "apellidos" => "Suárez Laurés" "email" => array:1 [ 0 => "luysquio@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Nefrologia Hospital Cabueñes Gijón Asturias, España, " "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] 1 => array:3 [ "entidad" => "Nefrologia, Hospital Cabueñes, GIJÓN, ASTURIAS, ESPAÑA, " "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] 2 => array:3 [ "entidad" => "Anestesia, Hospital Cabueñes, GIJÓN, ASTURIAS, ESPAÑA, " "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "affc" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "SEUDOOCLUSIÓN INTESTINAL POR CARBONATO DE LANTANO" ] ] "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold"> Dear Editor, </span> </p><p class="elsevierStylePara"> Currently, we have a wide range of options regarding the treatment of bone metabolism in haemodialysis.<span class="elsevierStyleSup">1 </span>Recently, even with limited time that sevelamer has been used to control hyperphosphataemia, many nephrologists have opted for lanthanum carbonate based largely on the fewer number of tablets required for this therapy.<span class="elsevierStyleSup">2 </span>The most frequent side effect of these drugs is manifested in the gastrointestinal tract, primarily affecting gastrointestinal transit, since they are binding compounds. </p><p class="elsevierStylePara"> In our unit, after one year of treating hyperphosphataemia with lanthanum carbonate, our level of control may be considered acceptable in terms of the percentage of patients with phosphate levels less than 5.5. Tolerance has been good, in general, and we have radiologically confirmed the residual presence of this substance in the colon on more than one occasion, which is to be routinely expected and has been previously described.<span class="elsevierStyleSup">3 </span>Here we present the case of a patient who presented with severe abdominal pain with intestinal paralysis, in whom lanthanum carbonate could not be excluded as a causal or contributing agent.  </p><p class="elsevierStylePara"> A 75-year-old man, diagnosed with ischaemic nephropathy on haemodialysis for the past 5 years, was admitted to the emergency room with pain in the right iliac fossa. The patient was afebrile, without vomiting, but did have constipation. On physical examination, there was absence of peristalsis and tenderness to palpation in the right iliac fossa. The laboratories were unremarkable (no leukocytosis, amylase, or lipase within the ranges adjusted to the degree of uraemia, etc.). Plain abdominal radiography showed remains of lanthanum carbonate in the colon, dilated loops of bowel, and, overall, a pseudobstructive pattern. Surgical intervention was decided upon for suspicion of an obstructed bowel loop, with a preoperative diagnosis of intestinal ischaemia. The patient underwent surgery during which no signs of mesenteric thrombosis were seen, bowel loops appeared normal, as well as the appendix and the abdominal environment. </p><p class="elsevierStylePara"> Clearly, although we are unable to state anything conclusively, we must suggest a possible iatrogenic aetiology related to lanthanum ingestion, as previously reported, and the importance of remaining alert to the occurrence of processes similar to those described. <span class="elsevierStyleBold"> </span></p>" "pdfFichero" => "P1-E46-S1860-A10311-EN.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "Bibliography" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "1.\u{A0}\u{A0}\u{A0}\u{A0}\u{A0} Block GA, Klassen PS, Lazarus JM y cols.: Mineral metabolism, mortality, and morbidity in maintenance hemodialysis. J Am Soc Nephrol\u{A0} 2004; 15: 2208-2218. <a href="http://www.ncbi.nlm.nih.gov/pubmed/15284307" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "2.\u{A0}\u{A0}\u{A0}\u{A0}\u{A0} Martín de Francisco A.L. ¿Debemos considerar el costo-efectividad de los distintos tratamientos al aplicar las recomendaciones sobre los captores (quelantes) de fósforo?\u{A0} Nefrología 2008; 28 (2) 129-134\u{A0}\u{A0}" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "3.\u{A0}\u{A0}\u{A0}\u{A0}\u{A0} Cerny S, Kunzendorf U. Images in clinical medicine. Radiographic appearance of lanthanum. N Engl J Med 2006; 355:1160. <a href="http://www.ncbi.nlm.nih.gov/pubmed/16971722" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/20132514/0000003000000003/v0_201502091603/X2013251410035694/v0_201502091604/en/main.assets" "Apartado" => array:4 [ "identificador" => "35436" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/20132514/0000003000000003/v0_201502091603/X2013251410035694/v0_201502091604/en/P1-E46-S1860-A10311-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410035694?idApp=UINPBA000064" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 10 | 2 | 12 |
| 2024 October | 40 | 26 | 66 |
| 2024 September | 50 | 23 | 73 |
| 2024 August | 68 | 49 | 117 |
| 2024 July | 29 | 29 | 58 |
| 2024 June | 52 | 30 | 82 |
| 2024 May | 42 | 26 | 68 |
| 2024 April | 38 | 36 | 74 |
| 2024 March | 27 | 20 | 47 |
| 2024 February | 33 | 35 | 68 |
| 2024 January | 22 | 27 | 49 |
| 2023 December | 22 | 20 | 42 |
| 2023 November | 33 | 33 | 66 |
| 2023 October | 26 | 31 | 57 |
| 2023 September | 18 | 25 | 43 |
| 2023 August | 29 | 22 | 51 |
| 2023 July | 29 | 29 | 58 |
| 2023 June | 23 | 19 | 42 |
| 2023 May | 34 | 34 | 68 |
| 2023 April | 22 | 20 | 42 |
| 2023 March | 23 | 22 | 45 |
| 2023 February | 12 | 26 | 38 |
| 2023 January | 23 | 28 | 51 |
| 2022 December | 21 | 22 | 43 |
| 2022 November | 27 | 31 | 58 |
| 2022 October | 28 | 39 | 67 |
| 2022 September | 24 | 42 | 66 |
| 2022 August | 19 | 39 | 58 |
| 2022 July | 19 | 44 | 63 |
| 2022 June | 13 | 32 | 45 |
| 2022 May | 21 | 34 | 55 |
| 2022 April | 38 | 44 | 82 |
| 2022 March | 22 | 48 | 70 |
| 2022 February | 20 | 43 | 63 |
| 2022 January | 23 | 26 | 49 |
| 2021 December | 33 | 33 | 66 |
| 2021 November | 24 | 32 | 56 |
| 2021 October | 18 | 41 | 59 |
| 2021 September | 16 | 33 | 49 |
| 2021 August | 23 | 27 | 50 |
| 2021 July | 12 | 24 | 36 |
| 2021 June | 16 | 22 | 38 |
| 2021 May | 24 | 29 | 53 |
| 2021 April | 68 | 44 | 112 |
| 2021 March | 28 | 23 | 51 |
| 2021 February | 14 | 15 | 29 |
| 2021 January | 15 | 12 | 27 |
| 2020 December | 11 | 9 | 20 |
| 2020 November | 10 | 6 | 16 |
| 2020 October | 11 | 9 | 20 |
| 2020 September | 17 | 8 | 25 |
| 2020 August | 15 | 7 | 22 |
| 2020 July | 18 | 5 | 23 |
| 2020 June | 19 | 7 | 26 |
| 2020 May | 13 | 9 | 22 |
| 2020 April | 21 | 11 | 32 |
| 2020 March | 10 | 14 | 24 |
| 2020 February | 20 | 12 | 32 |
| 2020 January | 25 | 15 | 40 |
| 2019 December | 20 | 17 | 37 |
| 2019 November | 15 | 20 | 35 |
| 2019 October | 11 | 4 | 15 |
| 2019 September | 26 | 19 | 45 |
| 2019 August | 15 | 10 | 25 |
| 2019 July | 15 | 19 | 34 |
| 2019 June | 9 | 9 | 18 |
| 2019 May | 13 | 11 | 24 |
| 2019 April | 28 | 25 | 53 |
| 2019 March | 18 | 16 | 34 |
| 2019 February | 17 | 15 | 32 |
| 2019 January | 15 | 14 | 29 |
| 2018 December | 68 | 33 | 101 |
| 2018 November | 70 | 8 | 78 |
| 2018 October | 57 | 14 | 71 |
| 2018 September | 57 | 11 | 68 |
| 2018 August | 39 | 13 | 52 |
| 2018 July | 40 | 10 | 50 |
| 2018 June | 34 | 14 | 48 |
| 2018 May | 37 | 9 | 46 |
| 2018 April | 50 | 8 | 58 |
| 2018 March | 34 | 12 | 46 |
| 2018 February | 30 | 5 | 35 |
| 2018 January | 33 | 6 | 39 |
| 2017 December | 40 | 4 | 44 |
| 2017 November | 25 | 7 | 32 |
| 2017 October | 32 | 4 | 36 |
| 2017 September | 34 | 11 | 45 |
| 2017 August | 23 | 8 | 31 |
| 2017 July | 30 | 6 | 36 |
| 2017 June | 27 | 5 | 32 |
| 2017 May | 35 | 11 | 46 |
| 2017 April | 32 | 4 | 36 |
| 2017 March | 12 | 2 | 14 |
| 2017 February | 26 | 7 | 33 |
| 2017 January | 20 | 8 | 28 |
| 2016 December | 41 | 4 | 45 |
| 2016 November | 35 | 6 | 41 |
| 2016 October | 63 | 5 | 68 |
| 2016 September | 76 | 3 | 79 |
| 2016 August | 112 | 3 | 115 |
| 2016 July | 103 | 2 | 105 |
| 2016 June | 82 | 0 | 82 |
| 2016 May | 82 | 0 | 82 |
| 2016 April | 58 | 0 | 58 |
| 2016 March | 63 | 0 | 63 |
| 2016 February | 84 | 0 | 84 |
| 2016 January | 75 | 0 | 75 |
| 2015 December | 91 | 0 | 91 |
| 2015 November | 64 | 0 | 64 |
| 2015 October | 57 | 0 | 57 |
| 2015 September | 63 | 0 | 63 |
| 2015 August | 62 | 0 | 62 |
| 2015 July | 50 | 0 | 50 |
| 2015 June | 32 | 0 | 32 |
| 2015 May | 40 | 0 | 40 |
| 2015 April | 6 | 0 | 6 |
Show all
