Aquaporins and The Surgeon: Cautionary Tales

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Title: Aquaporins and The Surgeon: Cautionary Tales
Author: Shaw, R.J.
Publisher: The Journal of the Royal College of Surgeons of Edinburgh
Date Published: August 01, 2001
Reference Number: 521
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Nephrogenic diabetes insipidus (NDI) presents an uncommon but formidable clinical challenge in the surgical patient. Two recent cases of NDI with differing aetiology are presented. These cases and a review of the literature illustrate well the diagnosis, fluid and electrolyte imbalances seen and the strategy of treatment required in the post-operative setting. The central role of the recently discovered aquaporin channels in this condition is briefly outlined. Nephrogenic diabetes insipidus has a diverse aetiology and many of the hazards of the condition are peculiar to the surgical setting. The importance of management in a high dependency environment is highlighted.
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