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Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/3918

Title: Impact of pretreatment asymptomatic renal dysfunction on clinical course after esophagectomy.
Other Titles: 食道切除後の臨床経過に対する無症候性腎機能障害の影響
Authors: Kirihataya, Yuki
Wakatsuki, Kohei
Matsumoto, Sohei
Nakade, Hiroshi
Kunishige, Tomohiro
Miyao, Shintaro
Sho, Masayuki
Keywords: Esophagectomy
Renal dysfunction
Postoperative complication
Surgery
Issue Date: Jan-2021
Publisher: Springer Nature
Citation: Surgery today Vol.51 No.1 p.165-171 (2021 Jan)
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.
Description: 博士(医学)・乙第1494号・令和3年3月15日
© Springer Nature Singapore Pte Ltd. 2020
This is a post-peer-review, pre-copyedit version of an article published in Surgery today. The final authenticated version is available online at: https://doi.org/10.1007/s00595-020-02118-z.
URI: http://hdl.handle.net/10564/3918
ISSN: 09411291
Academic Degrees and number: 24601B1494
Degree-granting date: 2021-03-15
Degree name: 博士(医学)
Degree-granting institutions: 奈良県立医科大学
Appears in Collections:2020年度

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