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TITLE:

ACUTE KIDNEY INJURY IN PATIENTS WITH STONES IN URETER

AUTHORS:

Dr Kifayat Tariq, Dr Mehboob Ul Wahaab, Dr Shafiullah, Dr Riaz Ahmed

ABSTRACT:

Objective: The objective of this research work is to find out the frequency of Acute Kidney Injury, its danger aspects and its consequences among the patients of US (ureteric stone). Methodology: This is an observational retrospective study conducted in Institute of Kidney Diseases Hayatabad Medical Complex Peshawar, and the duration of the study is from February 2018 to December 2018. One hundred and fifty-two patients underwent convenient sampling and their decompression operation carried out with the help of LASER, ureterorenoscopy & DJ Stenting for the stones in the ureter. The clearance of creatinine calculation carried out with the help of serum creatinine with the utilization of the Cock-Craft Gault Formula. This procedure was in use for every patient at the start and after the end of the treatment. SPSS V.17 was in use for the analysis of the collected information. Results: Out of total one hundred and fifty-two patients who faced surgical methods of decompression for the stones of ureter, acute kidney injury was present in 32.20% (n: 49) patients. Patients suffering from acute kidney injury were of old age, enhanced height, bilateral stones, and stones in the lower part of ureter & with co-indispositions as compared to the patients without AKI. The patients evolving acute kidney injury, 89.70 got recovery either incompletely (20.40%) or fully (69.30%). Conclusion: Acute kidney injury was in excess in the patients having stones in ureter with high age, enhanced height, bilateral stones, and stones in the lower area of ureter and found with co-morbidities. We found a good recovery rate after the removal of the obstruction. KEYWORDS: AKI, acute, US, ureter, stones, methodology, recovery, bilateral, kidney, Gault formula. Utilization.

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