Research Article
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Postoperative Acute Renal Failure in Patients With Obstructive Jaundice

Year 1996, Volume: 1 Issue: 1, 32 - 34, 30.11.1996

Abstract



Postoperative
acute renal failure in patients with obstructive jaundice remains a clinically
significant complications. The results of prospective analysis of 54 patients
undergoing biliary tract surgery show that the presence of obstructive jaundice
is associated with a high incidence of acute postoperative renal failure. There
were 11 (% 24.3) death within early postoperative period and 4 of this 11
patients death was due to acute renal failure. There was a highly significant
correlation between the preoperative serum bilirubine BUN and creatinine level
and postoperative mortality rate. There was not significant correlation with
level of preoperative serum bilirubine, BUN and creatinin with mortality due to
acute renal failure.

References

  • Bailey ME. Endotoxin, bile salts and renal function in obstructive jaundice.Br J Surg. 1976;63(10):774-778. doi:10.1002/bjs.1800631011
  • Allison MEM, Prentice CRM, Kennedy AC, Blumgart LH. Renal Function and other factors in obstructive jaundice. BrJ Surg. 1979;66(6):392-398.
  • Clrail CJ. Prevention of postopeerative renal failure in patients with obstructive jaundice: the role of bile salts. Br J Surg. 1983;70(10):590-595.
  • Wait RB, Kalmg KU. Renal failure complicating obstmctive jaundice. Am J Surg. 1989;157(2):256-263.
  • Pain JA, Clıail CJ, Bailey ME. Perioperative complications in obstructive jaundice: Therapeutic complications. Br J Surg. 1986;72:942-947.
  • Pitt HA, Cameron JL, Postier RG, Gadacz TR. Factors affecting mortality in biliary tract surgery. Am J Surg. 1981;141(1):66-72. doi: 10.1016/0002-9610(81)90014-3
  • Blamey SL, Fearon KCH, Gilmour WH, Osbome DH, Carter DC. Prediction of risk in biliary surgery. Br J Surg. 1983;70(9): 535-538. doi: 10.1002/bjs.1800700910
  • Dixon JM, Armstrong CP, Duffy SW, Davies GC. Factors affecting morbidity and mortality after surgery for obstructive jaundice: A review of 373 patients. Gut. 1983;24(9):845.
  • Scott-Conner CE, Grogan JB. The pathophysiology of biliary obstruction and its effect on phagocytic and immune function. The Journal of surgical research. 1994;57(2):316-336.
  • Armstrong CP, Dixon JM, Taylor TV. Davies GC. Surgical experience of deeply jaundiced patients with bile duct obstmction. BrJ Surg. 1984;72:234-238. doi: 10.1006/jsre.1994.1151
  • Cahill CJ, Pain JA, Bailey ME. Bile salts, endotoxin and renal function in obstructive jaundice. Surgery, gynecology & obstetrics. 1987;165(6):519-522.
  • Diamond T, Dolan S, Thompson RL, Rowlands BJ. Development and reversal of endotoxemia and endotoxin-related death in obstructive jaundice. Surgery. 1990;108(2):370-4.
  • Wait RB, Kahng KU. Renal failure complicating obstructive jaundice. Am J Surg. 1989; 157(2):256-63. doi: 10.1016/0002-9610(89)90540-0
  • Schouten JT. Operative therapy for pancreatic carcinoma. Am J Surg. 1986;151:626-630.
  • Mannel A, Da Silva JGC, Melissas J, Becker PJ. Morbidity and mortality in surgery for obstructive jaundice. S Afr J Surg. 1987;25(3):91-94.
  • Gillen P, Peel ALG. Failure to improve survival by improved diagnostic techniques in patients with malignant jaundice. Br J Surg. 1986;73(8);631-633. doi: 10.1002/bjs.1800730817
  • Pellegrini CA, Allegra P, Bongard FS, Way LW. Risk of biliary surgery in patients with hyperbilirubinemia. The American journal of surgery. 1987;154(1):72-78. doi:10.1016/0002-9610(87)90299-6
  • Burdiles P, Csendes A, Diaz JC,et al. Faclor affecting mortality in patients over 70 years of age submitted to surgery for gallbladder or common bile duct stones. Hepatogastroenterology. 1989;36:136-139.
  • McSherry CK, Glenn F. The incidence and causes of death following surgery for nonmalignant biliary tract disease. Annals of Surgery. 1980;191(3):271. doi:10.1097/00000658-198003000-00003
  • Csendes A, Diaz JC, Burdiles P, Maluenda F, Morales E. Risk factors and classification of acute suppurative cholangitis. British journal of surgery. 1992;79(7):655-658. doi:10.1002/bjs.1800790720
  • Makela J, Kairaluoma MI. Relaparotomy for postoperative intra‐abdominal sepsis in jaundiced patients. British journal of surgery. 1988;75(12):1157-1159. doi: 10.1002/bjs.1800751204
  • Fogarty BJ, Parks RW, Rowlands BJ, Diamond T.Renal dysfimclion in obstructive jaundice.Br J Surg. 1995;82:877-884.
  • Hishida A, Honda N, Sudo M, Nagase M. Mechanisms of altered renal perfusion in the early stage of obstructive jaundice. Kidney international. 1980;17(2):223-230. doi:10.1038/ki.1980.25
  • Utkan T, Sarioglu Y, Utkan NZ, Gönüllü NN, Yildirim MK. Vascular smooth muscle reactivity and endothelium derived relaxing factor in experimental obstructive jaundice. Archives of physiology and biochemistry. 1996;104(1):30-35. doi:10.1076/apab.104.1.30.12864
  • Wilkinson SP, Moodie H, Stamatakis JD, Kakkar VV, Williams R. Endotoxaemia and renal failure in cirrhosis and obstructive jaundice. Br Med J. 1976;2(6049):1415-1418.

Tıkanma Sarılıklı Hastalarda Postoperatif Akut Böbrek Yetmezliği

Year 1996, Volume: 1 Issue: 1, 32 - 34, 30.11.1996

Abstract



Tıkanma
sarılıklı hastalarda posoperatif akut renal yetmezlik halen klinik olarak önemli
bir komplikasyondur. Biliyer cerrahi girişim uygulanan 54 hastanın prospektif
analiz sonuçları sarılık varlığında yüksek oranda akut renal yetmezlik
insidansı olduğunu gösterdi. Erken postoperatif peryodda 11(%24,3) hasta öldü.
Bu 11 hastanın 4 'ündeki ölüm nedeni akut böbrek yetmezliği idi. Preoperatif
serum bilirubin, BUN ve kreatinini değerleri ile postoperatif mortalite
arasında anlamlı ilişki vardı. Preoperatif serum bilirubin BUN ve kreatinin düzeyleri
ilee akut böbrek yetmezliğine bağlı ölümler arasında anlamlı bir ilişki yoktu.

References

  • Bailey ME. Endotoxin, bile salts and renal function in obstructive jaundice.Br J Surg. 1976;63(10):774-778. doi:10.1002/bjs.1800631011
  • Allison MEM, Prentice CRM, Kennedy AC, Blumgart LH. Renal Function and other factors in obstructive jaundice. BrJ Surg. 1979;66(6):392-398.
  • Clrail CJ. Prevention of postopeerative renal failure in patients with obstructive jaundice: the role of bile salts. Br J Surg. 1983;70(10):590-595.
  • Wait RB, Kalmg KU. Renal failure complicating obstmctive jaundice. Am J Surg. 1989;157(2):256-263.
  • Pain JA, Clıail CJ, Bailey ME. Perioperative complications in obstructive jaundice: Therapeutic complications. Br J Surg. 1986;72:942-947.
  • Pitt HA, Cameron JL, Postier RG, Gadacz TR. Factors affecting mortality in biliary tract surgery. Am J Surg. 1981;141(1):66-72. doi: 10.1016/0002-9610(81)90014-3
  • Blamey SL, Fearon KCH, Gilmour WH, Osbome DH, Carter DC. Prediction of risk in biliary surgery. Br J Surg. 1983;70(9): 535-538. doi: 10.1002/bjs.1800700910
  • Dixon JM, Armstrong CP, Duffy SW, Davies GC. Factors affecting morbidity and mortality after surgery for obstructive jaundice: A review of 373 patients. Gut. 1983;24(9):845.
  • Scott-Conner CE, Grogan JB. The pathophysiology of biliary obstruction and its effect on phagocytic and immune function. The Journal of surgical research. 1994;57(2):316-336.
  • Armstrong CP, Dixon JM, Taylor TV. Davies GC. Surgical experience of deeply jaundiced patients with bile duct obstmction. BrJ Surg. 1984;72:234-238. doi: 10.1006/jsre.1994.1151
  • Cahill CJ, Pain JA, Bailey ME. Bile salts, endotoxin and renal function in obstructive jaundice. Surgery, gynecology & obstetrics. 1987;165(6):519-522.
  • Diamond T, Dolan S, Thompson RL, Rowlands BJ. Development and reversal of endotoxemia and endotoxin-related death in obstructive jaundice. Surgery. 1990;108(2):370-4.
  • Wait RB, Kahng KU. Renal failure complicating obstructive jaundice. Am J Surg. 1989; 157(2):256-63. doi: 10.1016/0002-9610(89)90540-0
  • Schouten JT. Operative therapy for pancreatic carcinoma. Am J Surg. 1986;151:626-630.
  • Mannel A, Da Silva JGC, Melissas J, Becker PJ. Morbidity and mortality in surgery for obstructive jaundice. S Afr J Surg. 1987;25(3):91-94.
  • Gillen P, Peel ALG. Failure to improve survival by improved diagnostic techniques in patients with malignant jaundice. Br J Surg. 1986;73(8);631-633. doi: 10.1002/bjs.1800730817
  • Pellegrini CA, Allegra P, Bongard FS, Way LW. Risk of biliary surgery in patients with hyperbilirubinemia. The American journal of surgery. 1987;154(1):72-78. doi:10.1016/0002-9610(87)90299-6
  • Burdiles P, Csendes A, Diaz JC,et al. Faclor affecting mortality in patients over 70 years of age submitted to surgery for gallbladder or common bile duct stones. Hepatogastroenterology. 1989;36:136-139.
  • McSherry CK, Glenn F. The incidence and causes of death following surgery for nonmalignant biliary tract disease. Annals of Surgery. 1980;191(3):271. doi:10.1097/00000658-198003000-00003
  • Csendes A, Diaz JC, Burdiles P, Maluenda F, Morales E. Risk factors and classification of acute suppurative cholangitis. British journal of surgery. 1992;79(7):655-658. doi:10.1002/bjs.1800790720
  • Makela J, Kairaluoma MI. Relaparotomy for postoperative intra‐abdominal sepsis in jaundiced patients. British journal of surgery. 1988;75(12):1157-1159. doi: 10.1002/bjs.1800751204
  • Fogarty BJ, Parks RW, Rowlands BJ, Diamond T.Renal dysfimclion in obstructive jaundice.Br J Surg. 1995;82:877-884.
  • Hishida A, Honda N, Sudo M, Nagase M. Mechanisms of altered renal perfusion in the early stage of obstructive jaundice. Kidney international. 1980;17(2):223-230. doi:10.1038/ki.1980.25
  • Utkan T, Sarioglu Y, Utkan NZ, Gönüllü NN, Yildirim MK. Vascular smooth muscle reactivity and endothelium derived relaxing factor in experimental obstructive jaundice. Archives of physiology and biochemistry. 1996;104(1):30-35. doi:10.1076/apab.104.1.30.12864
  • Wilkinson SP, Moodie H, Stamatakis JD, Kakkar VV, Williams R. Endotoxaemia and renal failure in cirrhosis and obstructive jaundice. Br Med J. 1976;2(6049):1415-1418.
There are 25 citations in total.

Details

Primary Language Turkish
Subjects Haematology
Journal Section Research Articles
Authors

Gürkan Ersoy This is me

Neşet Nuri Gönüllü This is me

Nihat Zafer Utkan This is me

Nuh Zafer Cantürk This is me

Mustafa Dülger This is me

Publication Date November 30, 1996
Submission Date May 1, 1996
Acceptance Date November 1, 1996
Published in Issue Year 1996 Volume: 1 Issue: 1

Cite

AMA Ersoy G, Gönüllü NN, Utkan NZ, Cantürk NZ, Dülger M. Tıkanma Sarılıklı Hastalarda Postoperatif Akut Böbrek Yetmezliği. Acta Med Nicomedia. November 1996;1(1):32-34.

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