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{
    "pk": 1519,
    "title": "Profound Alkalosis and Prolonged QT Interval Due to Inappropriate Gastrostomy Tube Loss: A Case Report",
    "subtitle": null,
    "abstract": "<p><strong>Introduction: </strong>Severe metabolic alkaloses are relatively rare but can carry a high mortality rate. Treatment involves supportive care and treatment of underlying causes.</p>\n<p><strong>Case Report:</strong> A 55-year-old male dependent on a gastrojejunostomy tube presented to the emergency department for altered mental status. The patient had metabolic alkalosis, electrolyte abnormalities, and prolonged QT interval on electrocardiogram. Examination and history revealed that chronic drainage of gastric fluid via malfunctioning a gastrojejunostomy tube resulted in profound alkalosis. The patient recovered with supportive care, electrolyte repletion, and gastrojejunostomy tube replacement.</p>\n<p><strong>Conclusion:</strong> This case highlights the importance of gastrointestinal acid-base pathophysiology.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Metabolic alkalosis"
        },
        {
            "word": "Prolonged QT"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0ff9n8jb",
    "frozenauthors": [
        {
            "first_name": "Forrest",
            "middle_name": "",
            "last_name": "Turner",
            "name_suffix": "",
            "institution": "Carolinas Medical Center, Department of Emergency Medicine, Charlotte, North Carolina",
            "department": ""
        },
        {
            "first_name": "Brandon",
            "middle_name": "",
            "last_name": "Friedman",
            "name_suffix": "",
            "institution": "Carolinas Medical Center, Department of Emergency Medicine, Charlotte, North Carolina",
            "department": ""
        },
        {
            "first_name": "H.",
            "middle_name": "Pendell",
            "last_name": "Meyers",
            "name_suffix": "",
            "institution": "Carolinas Medical Center, Department of Emergency Medicine, Charlotte, North Carolina",
            "department": ""
        },
        {
            "first_name": "Stephen",
            "middle_name": "W.",
            "last_name": "Smith",
            "name_suffix": "",
            "institution": "Hennepin Healthcare and University of Minnesota School of Medicine, Department of Emergency Medicine, Minneapolis, Minnesota",
            "department": ""
        }
    ],
    "date_submitted": "2023-07-14T21:06:44.132000Z",
    "date_accepted": "2024-01-17T18:30:27.881000Z",
    "date_published": "2024-04-30T13:00:00Z",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1519/galley/10780/download/"
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        {
            "label": "Final Article",
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}