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24.07.2018 | Original Contributions

Impact of Early Postbariatric Surgery Acute Kidney Injury on Long-Term Renal Function

verfasst von: Zubaidah Nor Hanipah, Suriya Punchai, Toms Augustin, Stacy A. Brethauer, Philip R. Schauer, Ali Aminian

Erschienen in: Obesity Surgery | Ausgabe 11/2018

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Abstract

Background

Bariatric surgery can improve renal dysfunction associated with obesity and diabetes. However, acute kidney injury (AKI) can complicate the early postoperative course after bariatric surgery. The long-term consequences of early postoperative AKI on renal function are unknown.

Methods

Patient undergoing bariatric surgery from 2008 to 2015 who developed AKI within 60 days after surgery were studied. Patients on dialysis before surgery were excluded.

Results

Out of 4722 patients, 42 patients (0.9%) developed early postoperative AKI after bariatric surgery of whom five had chronic kidney disease (CKD) preoperatively including CKD stage 3 (n = 2), stage 4 (n = 2), and stage 5 (n = 1). Etiologies of AKI included prerenal in 37 and renal in 5 patients. Nine patients (21%) underwent hemodialysis in early postoperative period for AKI. The median duration of follow-up was 28 months (interquartile range, 4–59). Of the 40 patients eligible for follow-up, 36 patients (90%) returned to their baseline renal function. However, four patients (10%) had worsening of renal function at follow-up.

Conclusions

The incidence of early postoperative AKI after bariatric surgery is about 1%. The most common causes of AKI after bariatric surgery are dehydration and infectious complications. In our series, 10% of patients who developed AKI in early postoperative period had worsening of renal function in long-term follow-up. In the absence of severe sepsis and severe underlying kidney dysfunction (CKD stages 4 and 5), full recovery is expected after postoperative AKI.
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Metadaten
Titel
Impact of Early Postbariatric Surgery Acute Kidney Injury on Long-Term Renal Function
verfasst von
Zubaidah Nor Hanipah
Suriya Punchai
Toms Augustin
Stacy A. Brethauer
Philip R. Schauer
Ali Aminian
Publikationsdatum
24.07.2018
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 11/2018
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-018-3398-2

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