The Operative Mortality in Renal Transplant and Dialysis Patient for End-Stage Renal Disease Undergoing Major Abdominal Surgery / 대한이식학회지
The Journal of the Korean Society for Transplantation
;
: 47-50, 2001.
Article
in Korean
| WPRIM
| ID: wpr-74678
ABSTRACT
PURPOSE:
There are steadily increasing number of patients with end-stage renal disease in dialysis and renal transplants. A few reports described the outcome of patients in dialysis those undergoing major abdominal surgery, but in renal transplants such a report has not been reported.METHODS:
We reviewed 43 patients who underwent major abdominal surgery including 22 patients undergoing dialysis (dialysis group), 7 patients undergoing dialysis with rejected renal transplants (rejected group), and 14 renal transplant with graft function (transplanted group).RESULTS:
Emergency operation was performed in 24 (55.8%) patients 12 in dialysis group, 5 in rejected group, and 7 in transplanted group, The indication of surgery included malignant disease in 16 (37.2%), bowel perforation in 9 (20.9%), adhesive ileus in 5 (11.6%), gastrointestinal bleeding in 4 (9.3%) and etc. The operative mortality rate was 25.6% (11/43) and developed all in emergency surgery including 2 in dialysis group (9.1% 2/22), 4 in rejected group (57.1% 4/11), and 5 in transplanted group (35.7% 5/14). The most common diseases in operative mortality cases were bowel perforation in 4 and gastrointestinal bleeding in 3, The cause of death were sepsis in 5, and, pneumonia, heart failure, and disseminated intravascular coagulation in 2, respectively.CONCLUSION:
The emergency major abdominal surgery in patients with renal transplantation and with rejected renal transplantation patients has high operative mortality rates than that of dialysis patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumonia
/
Adhesives
/
Mortality
/
Cause of Death
/
Kidney Transplantation
/
Sepsis
/
Transplants
/
Ileus
/
Dialysis
/
Disseminated Intravascular Coagulation
Type of study:
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
The Journal of the Korean Society for Transplantation
Year:
2001
Type:
Article
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