Pancreatic Resections in Renal Failure Patients : Is It Worth the Risk?
Joint Authors
Wong, Linda L.
Norman, K. S.
Domingo, S. R.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-02-09
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Chronic kidney disease affects 20 million US patients, with nearly 600,000 on dialysis.
Long-term survival is limited and the risk of complex pancreatic surgery in this group is questionable.
Previous studies are limited to case reports and small case series and a large database may help determine the true risk of pancreatic surgery in this population.
Methods.
The American College of Surgeons National Surgical Quality Improvement Program database was queried (2005–2011) for patients who underwent pancreatic resection.
Renal failure was defined as the clinical condition associated with rapid, steadily increasing azotemia (rise in BUN) and increasing creatinine above 3 mg/dL.
Operative trends and short-term outcomes were reviewed for those with and without renal failure (RF).
Results.
In 18,533 patients, 28 had RF.
There was no difference in wound infections, neurologic or cardiovascular complications.
Compared to non-RF patients, those with RF had more unplanned intubation (OR 4.89, 95% CI 1.85–12.89), bleeding requiring transfusion (OR 3.12, 95% CI 1.37–14.21), septic shock (OR 8.86, 95% CI 3.75–20.91), higher 30-day mortality (21.4% versus 2.3%, P<0.001) and longer hospital stay (23 versus 12 days, P<0.001).
Conclusions.
RF patients have much higher morbidity and mortality after pancreatic resections and surgeons should consider this before proceeding.
American Psychological Association (APA)
Norman, K. S.& Domingo, S. R.& Wong, Linda L.. 2014. Pancreatic Resections in Renal Failure Patients : Is It Worth the Risk?. HPB Surgery،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-509737
Modern Language Association (MLA)
Norman, K. S.…[et al.]. Pancreatic Resections in Renal Failure Patients : Is It Worth the Risk?. HPB Surgery No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-509737
American Medical Association (AMA)
Norman, K. S.& Domingo, S. R.& Wong, Linda L.. Pancreatic Resections in Renal Failure Patients : Is It Worth the Risk?. HPB Surgery. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-509737
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-509737