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[Postoperative acute kidney failure: comparative study in abdominal surgery].

M A Andrade1, I D de Araujo

  • 1Departamento de Cirurgia, Faculdade de Medicina, UFMG, Belo Horizonte.

Revista Paulista De Medicina
|May 1, 1991
PubMed
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Postoperative acute renal failure (ARF) occurred in 4.9% of patients undergoing surgery for obstructive jaundice. This incidence highlights the critical need for vigilance in managing renal function in these patients.

Area of Science:

  • Nephrology
  • Surgical Gastroenterology
  • Critical Care Medicine

Background:

  • Obstructive jaundice presents significant risks for postoperative complications.
  • Acute renal failure (ARF) is a serious concern in surgical patients.
  • Understanding ARF incidence in specific surgical contexts is crucial for patient outcomes.

Purpose of the Study:

  • To determine the incidence of postoperative acute renal failure (ARF) in patients with obstructive jaundice.
  • To analyze factors influencing ARF in patients undergoing surgery for various conditions.

Main Methods:

  • Retrospective study of 582 patients operated on between 1977 and 1987.
  • Data collected from patients treated at
  • Hospital das Clínicas da UFMG

Related Experiment Videos

  • .

    • Main Results:

    • Overall ARF incidence was 4.9% (29 patients).
    • ARF incidence was significantly higher in patients with peritonitis and obstructive jaundice (p < 0.0001).
    • Infection was significantly associated with ARF in portal hypertension and peritonitis cases.

    Conclusions:

    • Postoperative ARF is a significant complication in obstructive jaundice.
    • Risk stratification and vigilant monitoring are essential for surgical patients with obstructive jaundice.
    • Further research into preventative strategies for ARF in this population is warranted.