Table 1.
Prevention and treatment recommendations in urolithiasis associated with inflammatory bowel disease
IBD and stones treatment | |
All patients | Counselling about IBD association with renal stones |
Increased hydration | |
Monitor with regular urinalysis and imaging of upper tracts | |
Early surgical intervention even in small renal stone burden | |
Established hyperoxaluria or calcium oxalate stones | Reduction in dietary oxalate |
Calcium supplements | |
Uric acid stones | Urinary alkalinisation |
Citrate supplementation | |
Panproctocolectomy | Consideration for oral bicarbonate supplementation |
IBD: Inflammatory bowel disease.