Onconephrology: acute kidney disease after preventive ileostomy in a patient with colorectal cancer
https://doi.org/10.36485/1561-6274-2023-27-1-102-107
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.
About the Authors
K. S. Suprunovich
Pavlov State Medical University
Russian Federation
Russian Federation
Kseniya S. Suprunovich, MD
Nephrology Research Institute of Clinical Research Center
197022
L. Tolstoy st., 17, build 54
Saint-Petersburg
Phone: +79516442077
I. A. Paltyshev
Pavlov State Medical University
Russian Federation
Russian Federation
Ilya A. Paltyshev, MD
Research Institute for Surgery and Emergency Medicine
197022
L. Tolstoy st., 6/8, build 38
Saint-Petersburg
Phone: +79250581007
A. A. Zakharenko
Pavlov State Medical University
Russian Federation
Russian Federation
Alexander A. Zakharenko, Associate prof., MD, PhD, DMedSci, Chief of Department
Research Institute for Surgery and Emergency Medicine
Faculty of Postgraduate Studies
Department of Oncology
197022
L. Tolstoy st., 6/8, build 38
Saint-Petersburg
V. A. Dobronravov
Pavlov State Medical University
Russian Federation
Russian Federation
Vladimir A. Dobronravov, Prof., MD, PhD, DMedSci, Chief
Nephrology Research Institute of Clinical Research Center
197022
L. Tolstoy st., 17, build 54
Saint-Petersburg
References
1. Jin J., Wang Y., Shen Q. et al. Acute kidney injury in cancer patients: A nationwide survey in China. Sci Rep 2019; 9 (1): 3540. doi:10.1038/s41598-019-39735-9
2. Rosner M. H., Perazella M. A. Acute kidney injury in the patient with cancer. Kidney Res Clin Pract 2019; 38 (3): 295–308. doi:10.23876/j.krcp.19.042
3. Hsu C. Y., Ordoñez J. D., Chertow G. M. et al. The risk of acute renal failure in patients with chronic kidney disease. Kidney Int 2008; 74 (1): 101–107. doi: 10.1038/ki.2008.107
4. Porta C., Bamias A., Danesh F. R. et al. KDIGO Controversies Conference on onconephrology: understanding kidney impairment and solid-organ malignancies, and managing kidney cancer. Kidney Int 2020; 98 (5): 1108–1119. doi: 10.1016/j.kint.2020.06.046
5. Capasso A., Benigni A., Capitanio U. et al. Summary of the International Conference on Onco-Nephrology: an emerging field in medicine. Kidney Int 2019; 96 (3): 555–567. doi: 10.1016/j.kint.2019.04.043
6. Клинические рекомендации. Хроническая болезнь почек (ХБП) // Нефрология. – 2021. – 25 (5): 10–82 – Clinical recommendations. Chronic kidney disease (CKD). Nephrology (Saint-Petersburg) 2021; 25 (5): 10–82. (In Russ.)
7. Kang E., Park M., Park P. G. et al. Acute kidney injury predicts all-cause mortality in patients with cancer. Cancer Med 2019; 8 (6): 2740–2750. doi: 10.1002/cam4.2140
8. Slagelse C., Gammelager H., Iversen L. H. et al. Acute kidney injury and 1-year mortality after colorectal cancer surgery: a population-based cohort study. BMJ Open 2019; 9 (3): e024817. doi: 10.1136/bmjopen-2018-024817
9. James M. T., Bhatt M., Pannu N., Tonelli M. Long-term outcomes of acute kidney injury and strategies for improved care. Nat Rev Nephrol 2020; 16 (4): 193–205. doi: 10.1038/s41581-019-0247-z
10. Cheng Y., Nie S., Li L. et al. Epidemiology and outcomes of acute kidney injury in hospitalized cancer patients in China. Int J Cancer 2019 Jun 1; 144 (11): 2644–2650. doi: 10.1002/ijc.31993 Epub 2019 Jan 3. PMID: 30426496
11. Salahudeen A. K., Doshi S. M., Pawar T. et al. Incidence rate, clinical correlates, and outcomes of AKI in patients admitted to a comprehensive cancer center. Clin J Am Soc Nephrol 2013 Mar; 8 (3): 347–354. doi: 10.2215/CJN.03530412. Epub 2012 Dec 14. PMID: 23243268; PMCID: PMC3586962
12. Добронравов В. А. Обзор патофизиологии острого повреждения почек / В. А. Добронравов // Смирнов, А. В. Острое повреждение почек / А. В. Смирнов [и др.] – М.: МИА, 2015. – 30–79. – Dobronravov V. A. Review of the pathophysiology of acute kidney injury. In: Smirnov A. V., Dobronravov V. A., Rumyantsev A. Sh., Kayukov I. G. Acute kidney injury. MIA, M., 2015; 30–79 (in Russ.)
13. Rowe K. M., Schiller L. R. Ileostomy diarrhea: Pathophysiology and management. Proc (Bayl Univ Med Cent) 2020 Jan 30; 33 (2): 218–226. doi:10.1080/08998280.2020.1712926
14. Baker M. L., Williams R. N., Nightingale J. M. D. Causes and management of a high-output stoma. Colorectal disease 2011; 13: 191–197. doi: 10.1111/j.1463-1318.2009.02107.x
15. Hayden D. M., Pinzon M. C., Francescatti A. B. et al. Hospital readmission for fluid and electrolyte abnormalities following ileostomy construction: preventable or unpredictable? J Gastrointest Surg 2013 Feb; 17 (2): 298–303. doi: 10.1007/s11605-012-2073-5
16. Бурнашева Е. В. Поражение почек при противоопухолевой терапии / Е. В. Бурнашева [и др.] // Нефрология. – 2018; 22 (5): 17–2. – Burnasheva E. V., Shatokhin Y. V., Snezhko I. V., Matsuga A. A. Kidney injury in cancer therapy. Nephrology (Saint-Petersburg) 2018; 22 (5): 17–24. (In Russ.)] doi: 10.24884/1561-6274-2018-22-5-17-24
17. Sales G. T. M., Foresto R. D. Drug-induced nephrotoxicity. Rev Assoc Med Bras (1992) 2020; 66Suppl 1(Suppl 1): s82–s90. doi:10.1590/1806-9282.66.S1.82
18. Stein A., Voigt W., Jordan K. Chemotherapy-induced diarrhea: pathophysiology, frequency and guideline-based management. Ther Adv Med Oncol 2010; 2 (1): 51–63. doi: 10.1177/1758834009355164
19. Poole C., Gardiner J., Twelves C. et al. Effect of renal impairment on the pharmacokinetics and tolerability of capecitabine (Xeloda) in cancer patients. Cancer Chemother Pharmacol 2002; 49 (3): 225–234. doi:10.1007/s00280-001-0408-0
20. Yannis Lombardi, Christophe Ridel, Maxime Touzot. Anaemia and acute kidney injury: the tip of the iceberg? Clinical Kidney Journal February 2021; 14 (2): 471–473. doi: 10.1093/ckj/sfaa202
21. Ayodele Odutayo, Christopher X. Wong, Michael Farkouh et al. AKI and Long-Term Risk for Cardiovascular Events and Mortality JASN Jan 2017; 28 (1) 377–387. doi: 10.1681/ASN.2016010105
22. Wang C., Pei Y. Y., Ma Y. H. et al. Risk factors for acute kidney injury in patients with acute myocardial infarction. Chin Med J 2019; 132: 1660–1665. doi: 10.1097/CM9.0000000000000293
23. Смирнов А. В. Национальные рекомендации. Острое повреждение почек: основные принципы диагностики, профилактики и терапии. Часть I / А. В. Смирнов [и др.] // Нефрология – 2016. – 20 (1): 79–104 – Smirnov A. V., Dobronravov V. A., Rumyantsev A. S., Shilov E. M., Vatazin A. В., Kayukov I. G., Kucher A. G., Yesayan M. A. National guidelines acute kidney injury: basic principles of diagnosis, prevention and therapy. Part I. Nephrology (Saint-Petersburg) 2016; 20 (1): 79–104. (In Russ.) URL: https://journal.nephrolog.ru/jour/article/view/158
24. Laura Cosmai, Camillo Porta, Marina Foramitti et all. Preventive strategies for acute kidney injury in cancer patients, Clinical Kidney Journal January 2021; 14 (1): 70–83. doi: 10.1093/ckj/sfaa127
25. Arenas Villafranca J. J., López-Rodríguez C., Abilés J. et al. Protocol for the detection and nutritional management of high-output stomas. Nutr J 2015 May 9; 14: 45. doi: 10.1186/s12937-015-0034-z
26. Ayaz-Alkaya S. Overview of psychosocial problems in individuals with stoma: A review of literature. Int Wound J 2019; 16 (1): 243–249. doi:10.1111/iwj.13018
27. Dias I. B., Bouma H. R., Henning R. H. Unraveling the Big Sleep: Molecular Aspects of Stem Cell Dormancy and Hibernation. Front Physiol 2021; 12: 624950. Published 2021 Apr 1. doi: 10.3389/fphys.2021.624950
Review
For citations:
Suprunovich K.S., Paltyshev I.A., Zakharenko A.A., Dobronravov V.A. Onconephrology: acute kidney disease after preventive ileostomy in a patient with colorectal cancer. Nephrology (Saint-Petersburg). 2023;27(1):102-107. (In Russ.) https://doi.org/10.36485/1561-6274-2023-27-1-102-107
Views:
563
Email this article 