Onconephrology: acute kidney disease after preventive ileostomy in a patient with colorectal cancer

K. S. Suprunovich, I. Paltyshev, A. Zakharenko, V. Dobronravov
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Abstract

   The risk of acute kidney injury (AKI) in cancer patients is much higher than in the general population. Common causes of AKI in this group of patients are toxicity of chemotherapy com ponents and water-electrolyte imbalances. The risks of AKI increase significantly if the patient has a history of chronic kidney disease of any etiology. Risk assessment and correction, prevention and treatment of acute and chronic renal dysfunction are the standard tasks of onconephrology The clinical case of acute kidney disease described here illustrates the main mechanisms and factors of organ dysfunction and its outcomes as a con­ sequence of colorectal cancer treatment. The necessity of multidisciplinary cooperation in determining the management and treatm ent tactics of such patients is shown, that is essential for the long-term prognosis.
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肿瘤学:1例结直肠癌患者预防性回肠造口术后出现急性肾脏疾病
癌症患者发生急性肾损伤(AKI)的风险远高于一般人群。这组患者AKI的常见原因是化疗成分的毒性和水电解质失衡。如果患者有任何病因的慢性肾脏疾病史,AKI的风险显著增加。急性和慢性肾功能障碍的风险评估和纠正、预防和治疗是肿瘤学的标准任务。这里描述的急性肾脏疾病的临床病例说明了器官功能障碍的主要机制和因素及其作为结直肠癌治疗的结果。多学科合作在确定这类患者的管理和治疗策略的必要性显示,这对长期预后至关重要。
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