How do you approach prevention of kidney stones in patients with an ileal diversion and recurrent nephrolithiasis?  

My first step, is to perform a kidney stone analysis. Kidney stones are not a "monolithic" disorder; rather they are "symptoms" of a diverse group of renal mineral metabolism and acid-base disorders. my next step in this case would be to obtain a 24-hour urine supersaturation study. I would be parti...

I completely agree with Drs. @Erickson and @Wesson. My only caveat is that I like to get 2 sequential 24-hour urines for the first collection and then follow up with a 24-hour one about 3-4 months after initiating therapy. I would also get a renal US at 6 months as opposed to CT as I like to avoid r...