Impact of pretreatment asymptomatic renal dysfunction on clinical course after esophagectomy.

• Material Type: 博士論文
• Title: Impact of pretreatment asymptomatic renal dysfunction on clinical course after esophagectomy.
• Author/Editor: Kirihataya, Yuki; Wakatsuki, Kohei; Matsumoto, Sohei; Nakade, Hiroshi; Kunishige, Tomohiro; Miyao, Shintaro; Sho, Masayuki
• Author Heading: Kirihataya, Yuki; Wakatsuki, Kohei; Matsumoto, Sohei; Nakade, Hiroshi; Kunishige, Tomohiro; Miyao, Shintaro; Sho, Masayuki
• Publication, Distribution, etc.: Springer Nature
• Publication Date: 2021-01
• Publication Date (W3CDTF): 2021-01
• Alternative Title: 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
• Periodical title: Surgery today
• No. or year of volume/issue: 51 1
• Volume: 51
• Issue: 1
• Pages: 165-171
• ISSN (Periodical Title): ISSN : 0941-1291
• Degree grantor/type: 奈良県立医科大学
• Date Granted: 2021-03-15
• Dissertation Number: 乙第1494号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: Esophagectomy; Renal dysfunction; Postoperative complication; Surgery
• Target Audience: 一般
• Note (General): type:Thesis; 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.; 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.; identifier:Surgery today Vol.51 No.1 p.165-171 (2021 Jan); identifier:09411291; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3918; identifier:Surgery today, 51(1): 165-171
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.1007/s00595-020-02118-z
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU

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