Postoperative Acute Kidney Injury in Colorectal Surgery.
Acute Kidney Injury
/ blood
Adenocarcinoma
/ complications
Aged
Angiotensin-Converting Enzyme Inhibitors
/ therapeutic use
Chemotherapy, Adjuvant
/ methods
Creatinine
/ blood
Drug Tapering
/ methods
Female
Glomerular Filtration Rate
Humans
Hypertension
/ complications
Ileostomy
Laparoscopy
/ adverse effects
Postoperative Complications
/ blood
Proctectomy
/ adverse effects
Rectal Neoplasms
/ complications
Journal
Diseases of the colon and rectum
ISSN: 1530-0358
Titre abrégé: Dis Colon Rectum
Pays: United States
ID NLM: 0372764
Informations de publication
Date de publication:
01 03 2022
01 03 2022
Historique:
entrez:
9
2
2022
pubmed:
10
2
2022
medline:
3
3
2022
Statut:
ppublish
Résumé
A 73-year-old woman with hypertension controlled by an angiotensin-converting enzyme inhibitor (ACEi) undergoes a laparoscopic converted to open low anterior resection with diverting loop ileostomy (DLI) for locally advanced rectal adenocarcinoma. On postoperative day 5, her serum creatinine (sCr) is 1.4 mg/dL compared to a baseline of 0.9 mg/dL. Nonsteroidal anti-inflammatory drugs (NSAIDs) are stopped, she is resuscitated with balanced crystalloid until her sCr returns to the nadir, and she is discharged. At her postoperative visit, she has mild tachycardia and reports 1 week of 1500 to 2000 mL/day of ileostomy output. She is admitted with an sCr of 2.4 mg/dL and a blood urea nitrogen of 50. She is discharged after infectious complications are excluded, her ileostomy output is controlled, and her sCr is 1.7 mg/dL. Before initiation of adjuvant chemotherapy, her sCr is 1.8 mg/dL, and her estimated glomerular filtration rate (eGFR) is 28 to 32 mL/minute/1.73m2. This severe renal impairment prompts dose reduction of adjuvant chemotherapy.
Identifiants
pubmed: 35138283
doi: 10.1097/DCR.0000000000002390
pii: 00003453-202203000-00004
doi:
Substances chimiques
Angiotensin-Converting Enzyme Inhibitors
0
Creatinine
AYI8EX34EU
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
308-312Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © The ASCRS 2022.
Références
Kellum JA, Lameire N, Aspelin P, et al. Kidney Disease: Improving Global Outcomes (KDIGO) acute kidney injury work group. KDIGO clinical practice guideline for acute kidney injury. Kidney Int Suppl. 2012;2:1–138.
Prowle JR, Forni LG, Bell M, et al. Postoperative acute kidney injury in adult non-cardiac surgery: joint consensus report of the acute disease quality initiative and perioperative quality initiative. Nat Rev Nephrol. 2021;17:605–618.
Slagelse C, Gammelager H, Iversen LH, Sørensen HT, Christiansen CF. Acute kidney injury and 1-year mortality after colorectal cancer surgery: a population-based cohort study. BMJ Open. 2019;9:e024817.
Loria A, Melucci A, Speranza J, et al. Acute kidney injury is a common and significant complication following ileostomy formation. [published online ahead of print, September 18, 2021]. Colorectal Dis. 2021. 10.1111/codi.15917
doi: 10.1111/codi.15917
Smith SA, Ronksley PE, Tan Z, et al. New ileostomy formation and subsequent community-onset acute and chronic kidney disease: a population-based cohort study. Ann Surg. 2021;274:352–358.
United States Renal Data System. 2020 USRDS Annual Data Report: Epidemiology of Kidney Disease in the United States. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, 2020.
Moore PK, Hsu RK, Liu KD. Management of acute kidney injury: core curriculum 2018. Am J Kidney Dis. 2018;72:136–148.
Rowe KM, Schiller LR. Ileostomy diarrhea: Pathophysiology and management. Proc (Bayl Univ Med Cent). 2020;33:218–226.
Daoud ND, Hashash JG, Picco MF, Farraye FA. Fecal calprotectin from ileostomy output is sensitive and specific for the prediction of small bowel inflammation in patients with Crohn’s disease. J Crohns Colitis. 2021;jjab182. doi:10.1093/ecco-jcc/jjab182 [published online ahead of print, 2021 Oct 11]
doi: 10.1093/ecco-jcc/jjab182
Hendren S, Hammond K, Glasgow SC, et al. Clinical practice guidelines for ostomy surgery. Dis Colon Rectum. 2015;58:375–387.
Migdanis A, Koukoulis G, Mamaloudis I, et al. Administration of an oral hydration solution prevents electrolyte and fluid disturbances and reduces readmissions in patients with a diverting ileostomy after colorectal surgery: a prospective, randomized, controlled trial. Dis Colon Rectum. 2018;61:840–846.
Göcze I, Jauch D, Götz M, et al. Biomarker-guided intervention to prevent acute kidney injury after major surgery: the prospective randomized BigpAK study. Ann Surg. 2018;267:1013–1020.