Outcome of Patients on Renal Replacement Therapy after Colorectal Surgery

Abstract

Renal patients have a high rate of complications after colorectal surgery, and emergency surgery has a significant risk of anastomotic leak. Primary anastomosis should be avoided in all patients undergoing emergency intestinal resections. Subsequent surgery to restore intestinal continuity is possible in 90 percent of patients with far fewer complications.

Impact of Chronic Kidney Disease on Outcomes of Surgical Resection for Primary Colorectal Cancer

“…The authors also stated that mortality was 5% after elective surgery and 26% for emergency cases. 29 However, these percentages for control patients without end-stage renal disease were not presented in the article similarly to most other reports. [16][17][18][19]21,22,28 As far as we know, the current study is the first cohort review comparing the frequency of complications and oncological outcomes after surgical resection for CRC between distinct CKD stages.…”

Diverticulitis in immunosuppressed patients: A fatal outcome requiring a new approach?

“…A 1%-3% risk of anastomotic failures requiring "rescue colostomy" persists in elective surgery. 36,37 In contrast, in terms of comparable risks in elective surgery, Krysa and colleagues 38 showed that emergency colorectal surgery in patients who received renal replacement therapy resulted in an 81% overall complication rate, mortality of 26% and a substantial anastomotic leakage rate of 71% for primary anastomosis. Our study confirms the increased anastomotic leakage rate after emergency operations and suggests performing a protective loop ileostomy in case of colorectostomy.…”

Review Article: Total Hip Replacement in Haemodialysis or Renal Transplant Patients

“…43 In a meta-analysis of various non-cardiac surgeries, patients with chronic renal disease are at 2-to 5-fold higher risk for postoperative death and cardiovascular events than those with normal renal function. 44 Postoperative morbidity after elective orthopaedic surgery is also higher in patients with chronic renal disease.…”