PERIOPERATIVE RISK FACTORS OF HEMODIALYSIC PATIENTS IN GASTROINTESTINAL SURGERY

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 59; no. 11; pp. 2740 - 2746
• Main Authors: TOGO, Shinji, KIKUCHI, Minako, SHIMADA, Hiroshi, KUNISAKI, Chikara, MISUTA, Kouichiro
• Format: Journal Article
• Language: English; Japanese
• Published: Japan Surgical Association 1998
• ISSN: 1345-2843; 1882-5133
• DOI: 10.3919/jjsa.59.2740

Chronic dialysic patients usually have a high rate of surgical mortality and morbidity. Twenty-six dialysis patients were investigated to identify risk factors that the incidence of postoperative complications and death present before, during, and after the operation. Fifteen patients (57.7%) had postoperative complications and 3 (11.5%) patients died after the operation. Patients with a Prognostic Nutritional Index (PNI) value equal to or less than 40 had significantly more postoperative complications. Patients who had taken steroids before the operation and had serum a BUN level equal to or over 50 (mg/dl) one day before the operation, intraperitoneal infections, anastomotic leakages after the operation, serum BUN equal to or over 70 (mg/dl), and serum total protein equal to or under 4.0 (g/dl) one day after operation had significantly higher postoperative mortality. When these risk factors are present, reduction of the operation or selection of non-operative treatment should be considered.