Bilateral Nephrectomy in Hypertension
Authors: J. M. LAZARUS
Journal: Annals of Internal Medicine (1975)

Comments1 January 1975Bilateral Nephrectomy in HypertensionJ. M. LAZARUS, M.D., F.A.C.P., C. L. HAMPERS, M.D.J. M. LAZARUS, M.D., F.A.C.P.Search for more papers by this author, C. L. HAMPERS, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-82-1-119 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: In his article, "Malignant Hypertension: Kidneys Too Good to be Extirpated," (Ann Intern Med 80:754-757, 1974) Dr. Mroczek takes issue with the use of bilateral nephrectomy in patients with malignant hypertension. It appears that he has no objection to, and in fact supports, the use of nephrectomy in those patients with terminal renal failure. The point at issue is the definition of "terminal" renal failure.In our article advocating bilateral nephrectomy (1), we indicated that bilateral nephrectomy is not suggested in acute renal failure due to hypertension but in those patients with slowly progressive, chronic azotemia complicating...References1. LAZARUSHAMPERSBENNETT JCA: Urgent bilateral nephrectomy for severe hypertension. Ann Intern Med 76:733-739, 1972 LinkGoogle Scholar2. BRECKENRIDGEDOLLERYPERRY ACE: Prognosis of treated hypertension. Changes in life expectancy and causes of death between 1952-1967. Q J Med 39:411-429, 1970 MedlineGoogle Scholar3. WOODSBLYTHEHUFFINESS JWW: Malignant hypertension and renal insufficiency. N Engl J Med 291:10-13, 1974 CrossrefMedlineGoogle Scholar4. MROCZEKDAVIDOVGAVRILOVICH WML: The value of aggressive therapy in the hypertensive patient with azotemia. Circulation 60:893-904, 1969 CrossrefGoogle Scholar5. LOWRIELAZARUSMOCELIN EJA: Survival of patients undergoing chronic hemodialysis and transplantation. N Engl J Med 288:863-868, 1973 CrossrefMedlineGoogle Scholar1. LOWRIELAZARUSMOCELIN EJA: Survival of patients undergoing chronic hemodialysis and transplantation. N Engl J Med 288:863-868, 1973 CrossrefMedlineGoogle Scholar2. MROCZEK W: Malignant hypertension: kidneys too good to be extirpated. Ann Intern Med 80:754-757, 1974 LinkGoogle Scholar3. SCHWARTZ A: Treatment of malignant hypertension associated with renal insufficiency, in Hypertension: Mechanisms and Management, edited by ONESTI G, KIM KE, and MOYER JH. New York, Grune and Stratton, 1973, p. 783 Google Scholar4. LAZARUSHAMPERSBENNETT JCA: Urgent bilateral nephrectomy for severe hypertension. Ann Intern Med 76:733-739, 1972 LinkGoogle Scholar5. VERTESCANGIANOBERMAN VJL: Hypertension in end-stage renal disease. N Engl J Med 280:978-981, 1969 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Dialysis Unit Peter Bent Brigham Hospital 721 Huntington Ave. Boston, Massachusetts 02115 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 January 1975Volume 82, Issue 1Page: 119-120KeywordsAcute renal failureHypertensionKidneysNephrectomyPatient advocacyRenal failure Issue Published: 1 January 1975 PDF DownloadLoading ...