Urolithiasis risk factors in continent reservoir ileostomy patients

Abstract
Conventional ileostomy patients are at an increased risk to urinary stone formation compared to normal controls. Further risk factors to urinary stone formation in patients with Kock ileostomies were evaluated. Nine Kock ileostomy patients were matched for age, sex and body weight with 9 conventional ileostomy patients and 9 controls. Two 24 h urine samples from each patient were analyzed for volume, pH, Na+/K+ ratio, oxalate and uric acid concentration. The 2 ileostomy groups demonstrated reduced urinary volume and Na+/K+ ratio as compared to the control groups (P < 0.05). The Kock ileostomy group had the lowest urinary volume. There was no significant reduction in urinary pH or elevation in urine uric acid concentration in the Kock ileostomy group. There probably is no significant added risk to uric acid stone formation in Kock ileosotomy patients.

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