Outcomes of liver–kidney transplantation in patients with primary hyperoxaluria: an analysis of the scientific registry of transplant recipients database

Autor: Jie Xiang, Zheng Chen, Fangshen Xu, Shengmin Mei, Zhiwei Li, Jie Zhou, Yinlei Dong, Yangjun Gu, Zhichao Huang, Zhenhua Hu
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMC Gastroenterology, Vol 20, Iss 1, Pp 1-9 (2020)
Druh dokumentu: article
ISSN: 1471-230X
DOI: 10.1186/s12876-020-01349-1
Popis: Abstract Background Primary hyperoxaluria (PH) is an inherited disease lacking of hepatic oxalic acid metabolic enzymes which could lead to irreverisible renal damage. Currently, liver–kidney transplantation is a curative but highly invasive therapy used to treat patients with PH. However, limited studies have focused on combined liver–kidney transplantation (CLKT) and sequential liver and kidney transplantation (SLKT) in patients with PH. Methods The present study included 201 patients with PH who received both liver and kidney transplants and who were listed on the Scientific Registry of Transplant Recipients from 1987 to 2018. According to the liver–kidney transplant procedure, patients were separated into a CLKT group and a SLKT group. Patient demographics and transplant outcomes were assessed in each group. Results Compared with the SLKT group, The CLKT group got a worse pretransplant dialysis condition in both the proportion of patients under pretransplant dialysis (p = 0.048) and the duration of the pretransplant dialysis (p
Databáze: Directory of Open Access Journals
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