Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5732428 | International Journal of Surgery | 2016 | 5 Pages |
â¢Recurrent stone formers should have a full metabolic evaluation including serum chemistries and 24- hour urine collection(s).â¢Maintaining urine flow rates above 2.5 l/day reduces risk of formation for all stone types.â¢Hypercalciuria is very common in stone formers and is influenced by calcium, sodium, and protein intake.â¢Uric acid stone risk is greatest at low urine pH and calcium phosphate stone risk at higher pH values.
Recurrent nephrolithiasis is a common chronic condition that is often preventable with dietary modification and pharmacologic therapy. Patients with recurrent kidney stones should have a metabolic evaluation, consisting of radiologic studies to assess stone burden, crystallographic stone analysis, and laboratory studies including standard serum chemistries and 24Â h urine collection(s). This article focuses on the interpretation of urine chemistries to identify lithogenic risk factors and assess the contribution of diet to the formation of kidney stones.