Pancreas-Kidney Transplantations With Primary Bladder Drainage Followed by Enteric Conversion: Graft Survival and Outcomes
| Autor: | Hugo W. Nijhof, Paul J M van der Boog, Andrzej Baranski, Meriem Khairoun, Perla J Marang-van de Mheen, Ada Haasnoot |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Urinary system Urinary Bladder Cadaver medicine Humans Derivation Survival analysis Retrospective Studies Transplantation Kidney Urinary bladder business.industry Graft Survival Retrospective cohort study Middle Aged Kidney Transplantation Survival Analysis Tissue Donors Surgery Treatment Outcome medicine.anatomical_structure Female Pancreas Transplantation Pancreas business |
| Zdroj: | Transplantation. 85:517-523 |
| ISSN: | 0041-1337 |
| DOI: | 10.1097/tp.0b013e31816361f7 |
| Popis: | Background. In the Leiden University Medical Centre, a two-step approach is routinely used in simultaneous pancreas-kidney (SPK) transplantations: primary bladder drainage (BD) followed by elective enteric conversion. The rationale for this approach is to prevent the short-term disadvantages of primary enteric drainage (intra-abdominal abscesses, pancreas graft loss) and the long-term urological complications related to bladder drainage. Aim of the present study is to evaluate survival and (urological) complications of this approach compared to enteric drainage (ED). Methods. Patient records of all 98 SPK transplantations in the period 1997-2004 were reviewed for complications during the initial hospitalization until 30 days after discharge, and to assess urological complications and graft survival until the last hospital visit. Median duration of follow-up was 4.3 years for pancreas graft survival, 4.7 years for kidney graft survival, and 4.8 years for patient survival. Results. Patient survival was significantly better in BD patients than in ED patients (Χ 2 =9.89 P |
| Databáze: | OpenAIRE |
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