title: Metabolic acidosis: neo-considerations for general surgeons.
abstract: Hyperchloraemic metabolic acidosis is a documented complication of neobladder formation. However, it usually improves with time and is mild. Severe and persistent metabolic acidosis may manifest when patients undergo further surgery for other reasons. Neobladder formation following  radical cystectomy or cystoprostatectomy is becoming increasingly common, and surgeons treating patients with neobladders should recognise and treat metabolic acidosis with intravenous fluids and bicarbonate.
authors.affiliation: East and North Hertfordshire NHS Trust, UK.
authors.forename: L C E
authors.initials: LC
authors.lastname: Martin
authors.forename: U
authors.initials: U
authors.lastname: Abah
authors.forename: E
authors.initials: E
authors.lastname: Bean
authors.forename: S
authors.initials: S
authors.lastname: Gupta
mesh_terms: D000138:Acidosis / Q000209:etiology*; D000369:Aged, 80 and over; D002295:Carcinoma, Transitional Cell / Q000601:surgery; D006801:Humans; D008297:Male; D011471:Prostatic Neoplasms / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014547:Urinary Diversion / Q000009:adverse effects*; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects*