Copyright
©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 26, 2019; 7(14): 1805-1813
Published online Jul 26, 2019. doi: 10.12998/wjcc.v7.i14.1805
Published online Jul 26, 2019. doi: 10.12998/wjcc.v7.i14.1805
Predictors of dehydration and acute renal failure in patients with diverting loop ileostomy creation after colorectal surgery
Omar Vergara-Fernández, Mario Trejo-Avila, Oscar Santes, Danilo Solórzano-Vicuña, Noel Salgado-Nesme, Department of Colorectal Surgery, Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”, Mexico City 14080, Mexico
Author contributions: Omar Vergara-Fernández, and Mario Trejo-Avila designed this work, collected and interpreted the data, and drafted the manuscript. Mario Trejo-Avila performed statistical analyses. Oscar Santes, Danilo Solórzano-Vicuña, Noel Salgado-Nesme contributed to study concept, critically revised the manuscript, and performed overall supervision. All authors contributed to the final approval of the manuscript.
Institutional review board statement: This study was approved by the Institutional Review Board of the hospital.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: The authors deny any conflict of interest related to this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Mario Trejo-Avila, MD, Department of Colorectal Surgery, Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”. Vasco de Quiroga, 15, Sección XVI, Tlalpan 14080, Mexico City, Mexico. mario.trejo.avila@gmail.com
Telephone: +52-15-4870900-2142
Received: April 6, 2019
Peer-review started: April 8, 2019
First decision: May 31, 2019
Revised: June 17, 2019
Accepted: June 26, 2019
Article in press: June 27, 2019
Published online: July 26, 2019
Processing time: 112 Days and 14.4 Hours
Peer-review started: April 8, 2019
First decision: May 31, 2019
Revised: June 17, 2019
Accepted: June 26, 2019
Article in press: June 27, 2019
Published online: July 26, 2019
Processing time: 112 Days and 14.4 Hours
Core Tip
Core tip: In this retrospective study involving 102 patients who underwent colorectal surgery resections with primary low pelvic anastomosis and with the creation of a diverting loop ileostomy for the treatment of benign and malignant conditions, we evaluated the risk factors for high output related complications. The high output related complications were dehydration and acute renal failure that required visits to the emergency department and hospitalizations. We found that patients with ulcerative colitis and those with an ileostomy output above 1000 mL/24 h at the moment of discharge, were at increased risk of high output related complications.