چکیده (انگلیسی):

Background/Objective: Patients on hemodialysis (HD) who undergo abdominal
surgery for gastrointestinal disease are at increased risk of postoperative complications. In this
study, we retrospectively investigated the predictors of postoperative complications among
such patients.
Methods: The study group comprised 36 HD patients who underwent abdominal surgery for
gastrointestinal disease between 2003 and 2012. The clinicopathological factors of the patients
who did and did not suffer postoperative complications were compared.
Results: The overall morbidity and mortality rates were 39% (14/36) and 14% (5/36), respectively.
Physical status according to the American Society of Anesthesiologists (ASA) classification
(p Z 0.0203) and intraoperative blood loss (p Z 0.0013) were found to differ significantly
between the groups.
Conclusion: The morbidity and mortality rates of HD patients who underwent abdominal surgery
for gastrointestinal disease were high. Physical status according to the ASA classification
and intraoperative blood loss were found to be associated with postoperative complications.
Therefore, patients with comorbidities, such as heart disease and diabetes mellitus, have to
be treated appropriately before surgery. In addition, it is important that surgeons perform operations
carefully and avoid excessive blood loss