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Short bowel syndrome (SBS) is characterized by a malabsorptive state. It is conceivable that the coexistence of SBS and end-stage renal disease can lead to severe metabolic acidosis; however, such a condition has rarely been documented. We herein describe the case of a 64-year-old man with SBS who required maintenance hemodialysis. Persistent metabolic acidosis and mineral and bone disorders should be of particular concern in hemodialyzed patients with SBS.


Ryo Koda, Yuji Imanishi, Atsunori Yoshino, Shinya Kawamoto, Junichiro James Kazama, Ichiei Narita, Tetsuro Takeda. Persistent metabolic acidosis in a hemodialyzed patient with short bowel syndrome. Internal medicine (Tokyo, Japan). 2013;52(12):1379-82

PMID: 23774551

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