Hi Riva,
Yeah, it sure is. Here's a 'cut and paste' that explains it well. Link will follow on bottom.
Regards,
Bob
How Ileostomy Promotes Stones
Water and Electrolyte Loss
The colon reabsorbs large amounts of water, sodium, bicarbonate, calcium, and potassium. When the colon is lost from surgery for cancer or inflammatory bowel disease, what it once reabsorbed is also lost into ileostomy drainage. The kidneys compensate as expected by producing a scanty and acidic urine low in sodium, calcium, and potassium. Kidney cells conserve filtered citrate and metabolize it to bicarbonate to help make up for ileostomy losses. Likewise, they produce copious ammonia, a way of removing acid from the body.
All these compensations supersaturate the urine with respect to calcium oxalate – low volume, and uric acid – low volume and pH. As a result, calcium oxalate and uric acid stones occur.
Does Not Increase Urine Oxalate Excretion
Much the same pattern of water and electrolyte loss occurs after the loss of small bowel from surgery or another cause. Losses are less severe when the colon remains in place because it can reabsorb some of what escapes from the small bowel. But the colon is affected in such a way that it permits abnormal amounts of oxalate to pass through its linings into the blood. As a result, urine is high in oxalate as well as scanty and acidic – so-called enteric hyperoxaluria.
Dehydration vs. Oxalate
This is a key point of distinction. Ileostomy causes stones and poses a serious risk of kidney injury from dehydration. Small bowel resection poses less risk from dehydration but more from excess oxalate excretion that can cause both stones and severe kidney injury. Ileostomy plus small bowel resection, therefore, causes extreme risk of dehydration, but the loss of the colon removes the source of extra oxalate. In other words, with or without associated small bowel disease, patients with ileostomy form stones because of electrolyte and water loss, not excess oxalate.
Link to full article: https://kidneystones.uchicago.edu/chapter-11-ileostomy-kidney-stones/