Schmauss A K
Zentralbl Chir. 1979;104(7):417-26.
In uremic patients under long-time dialysis and after kidney transplantation surgical diseases with severe complications may occur, such as gastro-duodenal ulcers, inflammatory and ischaemic diseases of the colon, acute pancreatitis, intestinal obstruction. Most of the complications have only poor symptoms. If complications are suspected, an "aggressive diagnostic regimen" is mandatory. The incidence of cancer is higher in these patients. Complications can be diminished by prophylactic operations, such as gastric resection in gastro-duodenal ulcer. A restriction in elective and emergency operations has no longer a place in these patients.
在长期透析的尿毒症患者以及肾移植后，可能会出现伴有严重并发症的外科疾病，如胃十二指肠溃疡、结肠炎症性和缺血性疾病、急性胰腺炎、肠梗阻。大多数并发症症状不明显。如果怀疑有并发症，必须采取“积极的诊断方案”。这些患者的癌症发病率较高。通过预防性手术，如胃十二指肠溃疡的胃切除术，可以减少并发症。在这些患者中，不再限制择期手术和急诊手术。
