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Surgery Today
Erschienen in:

29.08.2020 | Original Article

Impact of pretreatment asymptomatic renal dysfunction on clinical course after esophagectomy

verfasst von: Yuki Kirihataya, Kohei Wakatsuki, Sohei Matsumoto, Hiroshi Nakade, Tomohiro Kunishige, Shintaro Miyao, Masayuki Sho

Erschienen in: Surgery Today | Ausgabe 1/2021

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Abstract

Purpose

Recent large-scale clinical studies have shown that preoperative renal insufficiency is associated with an increased risk of postoperative complications after esophagectomy; however, it remains unclear whether asymptomatic renal dysfunction affects the postoperative course after esophagectomy.

Methods

The subjects of this retrospective study were 177 patients who underwent esophagectomy between May, 2009 and December, 2018. Renal function was evaluated based on the pretreatment estimated glomerular filtration rate (eGFR). Patients were divided into two groups according to the eGFR cut-off value of 55 ml/min per 1.73 m2.

Results

There were 17 patients in the low eGFR group and 160 patients in the normal group eGFR group. The rate of severe complications was significantly higher in the low eGFR than in the normal eGFR group. A low eGFR was the only significant complication risk factor identified; however, there were no marked differences in mortality or survival between the low and normal eGFR groups.

Conclusion

Our findings demonstrate that pretreatment asymptomatic renal dysfunction may be a significant risk factor for severe morbidity after esophagectomy.
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Metadaten
Titel
Impact of pretreatment asymptomatic renal dysfunction on clinical course after esophagectomy
verfasst von
Yuki Kirihataya
Kohei Wakatsuki
Sohei Matsumoto
Hiroshi Nakade
Tomohiro Kunishige
Shintaro Miyao
Masayuki Sho
Publikationsdatum
29.08.2020
Verlag
Springer Singapore
Erschienen in
Surgery Today / Ausgabe 1/2021
Print ISSN: 0941-1291
Elektronische ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-020-02118-z

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