Shankar Wankhede
Associate professor, Department of General Medicine, DY Patil School of Medicine, Navi Mumbai, Nerul, Navi Mumba 400 706 Maharashtra, India
Abstract
Background: Acute gastroenteritis is a common gastrointestinal disorder characterized by inflammation of the stomach and intestines, often leading to diarrhea and vomiting. While it primarily affects the digestive system, renal involvement can occur, especially in cases of severe dehydration and electrolyte imbalance.
Objective: This study aims to evaluate the extent of renal involvement in patients with acute gastroenteritis and its correlation with clinical outcomes.
Material and Methods: This cross-sectional study was conducted in the Department of Medicine at a tertiary care hospital over six months. A total of 40 patients aged 18 years and older, diagnosed with acute gastroenteritis based on clinical and laboratory criteria, were included. Renal function was assessed by measuring serum creatinine and blood urea nitrogen (BUN) levels at the time of admission. Patients were categorized based on the severity of their gastroenteritis and hydration status.
Results: Out of 40 patients, 12 (30%) exhibited renal involvement, indicated by elevated serum creatinine and BUN levels. The study found a significant correlation between the severity of gastroenteritis and the degree of renal impairment (p < 0.05).
Conclusion: Renal involvement is not uncommon in patients with acute gastroenteritis, especially those with severe dehydration. Regular monitoring of renal function is essential in managing these patients to prevent complications.
Keywords: Acute gastroenteritis, renal involvement, dehydration, serum creatinine and blood urea nitrogen