Kidney transplant in pediatric patients with severe bladder pathology

Autor:	Juan Guillermo Mansilla, Francisco Ossandón, Gloria González, Ramon Correa, Cesar Pinilla, Jorge Rodríguez, María Consuelo Sierralta, Angela Delucchi, Claudio Nome
Rok vydání:	2015
Předmět:	Male medicine.medical_specialty Pathology Adolescent urologic and male genital diseases Kidney transplant Postoperative Complications Risk Factors medicine Humans Child Kidney transplantation Retrospective Studies Transplantation Kidney business.industry Incidence (epidemiology) Incidence Graft Survival Case-control study Urinary Bladder Diseases Infant Retrospective cohort study medicine.disease Kidney Transplantation female genital diseases and pregnancy complications Surgery medicine.anatomical_structure Case-Control Studies Child Preschool Pediatrics Perinatology and Child Health Female Urinary bladder disease business Follow-Up Studies
Zdroj:	Pediatric transplantation. 19(7)
ISSN:	1399-3046
Popis:	The aim of the current study was to compare results in pediatric renal transplantation of patients with and without SBP. Between 2001 and 2013, a total of 168 kidney transplants were performed at our center. A retrospective analysis was performed and recipients were divided into two groups: NB and SBP. Incidence of surgical complications after procedure, and graft and patient survival were evaluated. A total of 155 recipients (92%) with complete data were analyzed, and 13 recipients that had had previous bladder surgeries were excluded (11 with VUR surgery and two with previous kidney transplants), of the 155 recipients: 123 (79%) patients had NB, and 32 (21%) patients had SBP, with a median follow-up of 60 (1-137) and 52 (1-144) months, respectively. Among post-transplant complications, UTI (68.8% vs. 23%, p < 0.0001) and symptomatic VUR to the graft (40.6% vs. 7.3%, p < 0.0001) were significantly higher in the SBP group. There was no significant difference in overall graft and patient survival between groups. Renal transplantation is safe in pediatric recipients with SBP; however, urologic complications such as UTI and VUR were significantly higher in this group. Graft and patient survival was similar in SBP and NB groups.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::afc6d7e651a306effb55c3dd6a358e35 https://pubmed.ncbi.nlm.nih.gov/26256468 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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