RE: Emphysematous pyelonephritis: is nephrectomy warranted?

We read with great interest the article “Emphysematous pyelonephritis: Is nephrectomy warranted?” by Alsharif M. et al .[1] This article highlights interesting updated in managing emphysematous pyelonephritis (EPN) from radical surgery to medical management. Similar finding was published earlier by...

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Main Authors:	Kamarulzaman, Mohd Nazli, Che Mohamed, Siti Kamariah
Format:	Article
Language:	English
Published:	Wolters Kluwer - Medknow Publications, Wolters Kluwer India Pvt. Ltd. 2016
Subjects:	RD Surgery
Online Access:	http://irep.iium.edu.my/50152/ http://irep.iium.edu.my/50152/ http://irep.iium.edu.my/50152/ http://irep.iium.edu.my/50152/2/letter_to_editor_urolann_2016.pdf

id	iium-50152
recordtype	eprints
spelling	iium-501522016-07-31T01:59:55Z http://irep.iium.edu.my/50152/ RE: Emphysematous pyelonephritis: is nephrectomy warranted? Kamarulzaman, Mohd Nazli Che Mohamed, Siti Kamariah RD Surgery We read with great interest the article “Emphysematous pyelonephritis: Is nephrectomy warranted?” by Alsharif M. et al .[1] This article highlights interesting updated in managing emphysematous pyelonephritis (EPN) from radical surgery to medical management. Similar finding was published earlier by Ubee SS et al. in their literature review. [2] They noted the trend towards medical management was begun since late 1980s. This change in management trend was associated with improve in mortality from 40-50% in 1970s to 13.5% recently. [2] It was similar in this paper which had the rate of 30% and 100% for overall mortality and radical nephrectomy rate respectively. This trend of management seems to be widely accepted all over the world. In our opinion, early nephrectomy had its own rule in managing EPN, especially in case where the renographic clearance is <10%.[3] The percentage of EPN patients undergone surgery will be markedly reduced with early detection and aggressive medical management. However, the comparison between medical management and early nephrectomy in term of mortality cannot be ascertained except similar group of EPN patient being subjected for each arm of treatment options. Patients with multiple co-morbidities and in sepsis certainly had higher mortality rate regardless of whatever treatment given. Wolters Kluwer - Medknow Publications, Wolters Kluwer India Pvt. Ltd. 2016-04 Article PeerReviewed application/pdf en http://irep.iium.edu.my/50152/2/letter_to_editor_urolann_2016.pdf Kamarulzaman, Mohd Nazli and Che Mohamed, Siti Kamariah (2016) RE: Emphysematous pyelonephritis: is nephrectomy warranted? Urology Annals, 8 (2). pp. 258-259. ISSN 0974-7796 E-ISSN 0974-7834 http://www.urologyannals.com/temp/UrolAnn82258-8062254_222342.pdf 10.4103/0974-7796.179236
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RD Surgery
spellingShingle	RD Surgery Kamarulzaman, Mohd Nazli Che Mohamed, Siti Kamariah RE: Emphysematous pyelonephritis: is nephrectomy warranted?
description	We read with great interest the article “Emphysematous pyelonephritis: Is nephrectomy warranted?” by Alsharif M. et al .[1] This article highlights interesting updated in managing emphysematous pyelonephritis (EPN) from radical surgery to medical management. Similar finding was published earlier by Ubee SS et al. in their literature review. [2] They noted the trend towards medical management was begun since late 1980s. This change in management trend was associated with improve in mortality from 40-50% in 1970s to 13.5% recently. [2] It was similar in this paper which had the rate of 30% and 100% for overall mortality and radical nephrectomy rate respectively. This trend of management seems to be widely accepted all over the world. In our opinion, early nephrectomy had its own rule in managing EPN, especially in case where the renographic clearance is <10%.[3] The percentage of EPN patients undergone surgery will be markedly reduced with early detection and aggressive medical management. However, the comparison between medical management and early nephrectomy in term of mortality cannot be ascertained except similar group of EPN patient being subjected for each arm of treatment options. Patients with multiple co-morbidities and in sepsis certainly had higher mortality rate regardless of whatever treatment given.
format	Article
author	Kamarulzaman, Mohd Nazli Che Mohamed, Siti Kamariah
author_facet	Kamarulzaman, Mohd Nazli Che Mohamed, Siti Kamariah
author_sort	Kamarulzaman, Mohd Nazli
title	RE: Emphysematous pyelonephritis: is nephrectomy warranted?
title_short	RE: Emphysematous pyelonephritis: is nephrectomy warranted?
title_full	RE: Emphysematous pyelonephritis: is nephrectomy warranted?
title_fullStr	RE: Emphysematous pyelonephritis: is nephrectomy warranted?
title_full_unstemmed	RE: Emphysematous pyelonephritis: is nephrectomy warranted?
title_sort	re: emphysematous pyelonephritis: is nephrectomy warranted?
publisher	Wolters Kluwer - Medknow Publications, Wolters Kluwer India Pvt. Ltd.
publishDate	2016
url	http://irep.iium.edu.my/50152/ http://irep.iium.edu.my/50152/ http://irep.iium.edu.my/50152/ http://irep.iium.edu.my/50152/2/letter_to_editor_urolann_2016.pdf
first_indexed	2023-09-18T21:10:52Z
last_indexed	2023-09-18T21:10:52Z
_version_	1777411242912120832

RE: Emphysematous pyelonephritis: is nephrectomy warranted?

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