Nephrolithiasis in IBD

IBD-associated disease

Clinical diagnosis

Pathological conditions

Clinical management

CD

Hyperoxuloria

- Bile salt malabsortion

- Increased oxalate permeability

- Decolonization of Oxalobacter formigenes

Calcium supplementation

Dietary oxalate reduction

Pyridoxine (B6) to decrease oxalate synthesis [3]

Citrate and magnesium supplementation

(in case of recurrence) [3]

UC

Uric acid supersaturation

- Low urinary vloume

- Low PH

Diarrhea therapy

Urine alkalization

Increased fluid intake

Citrate and magnesium supplementation