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Review
. 2020 Aug 18;9(8):2679.
doi: 10.3390/jcm9082679.

Management of Acute Kidney Injury Following Major Abdominal Surgery: A Contemporary Review

Affiliations
Review

Management of Acute Kidney Injury Following Major Abdominal Surgery: A Contemporary Review

Joana Gameiro et al. J Clin Med. .

Abstract

Acute kidney injury (AKI) is a frequent occurrence following major abdominal surgery and is independently associated with both in-hospital and long-term mortality, as well as with a higher risk of progressing to chronic kidney disease (CKD) and cardiovascular events. Postoperative AKI can account for up to 40% of in-hospital AKI cases. Given the differences in patient characteristics and the pathophysiology of postoperative AKI, it is inappropriate to assume that the management after noncardiac and nonvascular surgery are the same as those after cardiac and vascular surgery. This article provides a comprehensive review on the available evidence on the management of postoperative AKI in the setting of major abdominal surgery.

Keywords: abdominal surgery; acute kidney injury; diagnosis; treatment.

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Conflict of interest statement

There is no conflict of interest.

Figures

Figure 1
Figure 1
Management of AKI. MAP—mean arterial pressure; RRT—renal replacement therapy; SCr—serum creatinine; UO—urine output.

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