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VOLUME 21 , ISSUE 1 ( 2017 ) > List of Articles


Hyperchloremic metabolic acidosis following total gut irrigation with normal saline in pediatric patients: A rare occurrence

Divya Jain, Indu Bala, Jai Mahajan

Keywords : Acidosis, anion gap, anorectal malformation, balanced salt solution, pediatrics, rectovaginal fistula, water-electrolyte imbalance

Citation Information : Jain D, Bala I, Mahajan J. Hyperchloremic metabolic acidosis following total gut irrigation with normal saline in pediatric patients: A rare occurrence. Indian J Crit Care Med 2017; 21 (1):55-56.

DOI: 10.4103/0972-5229.198329

License: CC BY-ND 3.0

Published Online: 01-12-2017

Copyright Statement:  Copyright © 2017; The Author(s).


Use of 0.9% sodium chloride for total gut irrigation (TGI) through nasogastric route is an effective method of bowel preparation in children undergoing colorectal surgeries. TGI with normal saline (NS) can result in nausea, vomiting, abdominal distension, and mild electrolyte imbalance; however, hyperchloremic metabolic acidosis has not been documented. We report two cases of hyperchloremic metabolic acidosis in children posted for colorectal surgery following TGI with NS who were successfully managed.

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