| Theme |
Diseases of alimentary tract in maintenance dialysis patients -- tendency and management from a view point of symptomatology |
| Title |
Perioperative management of digestive tract surgery for maintenance hemodialysis patients |
| Author |
Kazutaka Kukita |
Department of Surgery Sapporo Hokuyu Hospital |
| Author |
Junichi Goto |
Department of Surgery Sapporo Hokuyu Hospital |
| Author |
Seiichirou Tsuchihashi |
Department of Surgery Sapporo Hokuyu Hospital |
| Author |
Junichi Iida |
Department of Surgery Sapporo Hokuyu Hospital |
| Author |
Masahiro Hattori |
Department of Surgery Sapporo Hokuyu Hospital |
| Author |
Takuma Hoshino |
Department of Surgery Sapporo Hokuyu Hospital |
| [ Summary ] |
Recently, digestive tract surgery for maintenance hemodialysis patients has become safe excect for emergent cases. Perioperative total parenteral nutrition is required for cases involving malnutrition. Nafamostat mesilate is used as an anticoagulant agent in the perioperative period. Preoperative hemodialysis is sufficient only once before the surgery. Hemodiafiltration should be employed one week after major surgery to insure the stability of circulatory systems. Preoperative blood purification should be performed approximately three hours prior to emergent surgery, so laboratory data may be updated. |