Colonic necrosis due to calcium polystyrene sulfonate (Kalimate) not suspended in sorbitol

Castillo-Cejas, M.D.; Torres-Ramírez, I.de; Alonso-Cotoner, C.

Revista Española de Enfermedades Digestivas 105(4): 232-234

2013


DOI: 10.4321/s1130-01082013000400010
Accession: 068501529

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Abstract
Cation-exchange resins are used in the management of hyperkalemia, particularly in patients with end-stage renal disease. These resins were associated with gastrointestinal tract lesions, especially sodium polystyrene sulfonate (Kayexalate) mixed with sorbitol. We present a case of colonic necrosis after the administration of calcium polystyrene sulfonate (Kalimate) not suspended in sorbitol.