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Renal functions in obstructive jaundice: a pre and post operative assessment.
- Source :
-
The Journal of the Association of Physicians of India [J Assoc Physicians India] 1993 Mar; Vol. 41 (3), pp. 151-3. - Publication Year :
- 1993
-
Abstract
- Surgery in patients with surgical obstructive jaundice is known to be associated with increased risk of post-operative acute renal failure. A prospective study was carried out to evaluate the renal function in patients with obstructive jaundice. Renal functions of thirty two patients with jaundice secondary to mechanical obstruction of the biliary tract were evaluated pre-operatively and 7 days after surgical biliary decompression. Although no significant difference was seen in the mean values of pre and post operative renal function variables, two patients had overt renal failure, one with pre-operative cholangitis and acute tubular necrosis and another with carcinoma of the pancreas and postoperative acute renal failure. The overall satisfactory outcome in our obstructive jaundice patients may be related to pre-operative and intraoperative preparation with intravenous fluids and mannitol. It is concluded that patients with obstructive jaundice can be satisfactorily treated with special preoperative care including good hydration and mannitol therapy during anaesthesia and surgery.
- Subjects :
- Acute Kidney Injury etiology
Acute Kidney Injury physiopathology
Adult
Aged
Cholestasis, Extrahepatic etiology
Cholestasis, Extrahepatic physiopathology
Fatal Outcome
Female
Fluid Therapy
Gallstones complications
Gallstones physiopathology
Gallstones surgery
Humans
Male
Middle Aged
Pancreatic Neoplasms complications
Pancreatic Neoplasms physiopathology
Pancreatic Neoplasms surgery
Acute Kidney Injury surgery
Cholestasis, Extrahepatic surgery
Kidney Function Tests
Postoperative Complications physiopathology
Subjects
Details
- Language :
- English
- ISSN :
- 0004-5772
- Volume :
- 41
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- The Journal of the Association of Physicians of India
- Publication Type :
- Academic Journal
- Accession number :
- 8226598