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Sunday, May 19, 2013
Kidney Failure & Surgery complications
My 77 year old Mother has Chronic kidney failure, but is not on dialysis and is pretty stable. She also has some dementia and an ileostomy since 2001. Up intil the last 4 months she has completely dealt with the ileostomy bag, etc on her own, but now often forgets to put in on, which has created sanitary problems & skin burning. She lives in her own assisted living apt with little daily help except for now with her ileostomy. The ileostomy is reversable and we are exploring this. She is otherwise pretty healthy, walks 4 flights of stairs numerous times a day. What effects could the surgery have on her kidneys and dementia? Does the positive outweigh the negative? If this was your parent and the surgery possible, would you proceed? Thank you!
Whether or not the surgery should be done depends on the seriousness of her underlying conditions. If she has only mild CKD, the risk of surgery may not even be increased. Although she has dementia, she sounds like she's pretty functional, and it would certainly be worthwhile considering the surgery, which may significantly improve her quality of life.
Her overall risk can best be estimated by the anesthesiologist who preps her for the surgery and will depend not only on her kidney function, but her general health, especially heart and lung function. Best of luck!
Mildred Lam, MD
Associate Professor of Medicine
School of Medicine
Case Western Reserve University