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Kidney Stones (Steve)

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Steve,

I found the information I was lookin for. The article is by Dr.

Mervyn Deitel - he is discussing the JIB.

" The major problem, however, was oxalate renal stones related to fat

malabsorption. Calcium normally complexes with oxalate which thus

goes out in the stool. However, with the short-gut syndrome, the

calcium forms insoluble complexes with fatty acids of the steatorrheo

and thus, oxalate is left to be absorbed, resulting in oxalemia and

oxaluria. "

So it is the lack of calcium to combine with the oxalate that causes

problems, not excess calcium!

This problem was frequent with JIB but no more common than pre-op for

BPD/DS.

Hull

-- In duodenalswitch@y..., chull1@s... wrote:

> Steve,

>

> Interesting. The JIB procedure had problems with Kidney stones,

but

> the reports on BPD/DS indicate similar prevalance pre-op and post-

op.

> I will have to re-read Marceau's paper to see if there is any

> relationship between dietary calcium and Kidney stones. I don't

think

> there is (if I recall correctly). I think it had something to do

with

> Oxelate? which was somhow associate with the malabsorption, but I

> don't recall exactly.

>

> Hull

>

> --- In duodenalswitch@y..., Steve Goldstein <steve-goldstein@c...

> > if analysis of the stones points to a

> > calcium base, what, if any influence might the dietary calcium

> > supplementation have on this? Anybody have any ideas here?

> Similar

> > question about all the animal protein that I have been ingesting

> > post-op.

> >

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