Preemptif ve non-preemptif renal transplant alıcılarının sonuçlarının karşılaştırılması
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Date
2007-01-09
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Uludağ Üniversitesi
Abstract
Transplantasyon kronik diyaliz tedavisi başlanmadan önce yapılırsa preemptif olarak tanımlanır. Merkezimizde şu ana kadar 8 (%4.4) preemptif böbrek transplantasyonu yapıldı. Preemptif ve non-Preemptif renal transplant alıcıları çalışmaya dahil edildi. Her iki grupta 1 yıllık dönemde graft fonksiyonu, medikal ve cerrahi komplikasyonların sıklığı karşılaştırıldı. Preemptif hastalarda 4 akut rejeksiyon atağı, non-Preemptif hastalarda 1 gecikmiş graft fonksiyonu vardı. Preemptif hastalarda 1. ve 12. ayda ortalama kreatinin seviyeleri 1.3 ± 0.5 ve 1.5 ± 0.6 mg/dl, non-Preemptif hastalarda 1.2 ± 0.2 ve 1.3 ± 0.3 mg/dl idi. Medikal ve cerrahi komplikasyon oranları benzerdi. Preemptif böbrek transplantasyonu, son dönem böbrek hastalığı olan uygun hastalarda düşünülmelidir.
Transplantation is defined as preemptive if it takes place before the initiation of chronic dialysis treatment. 8 (4.4%) preemptive kidney transplantations were performed in our center at that time. Preemptive and non-Preemptive renal transplant recipients included into the study. In both groups, graft functions and the frequency of medical and surgical complications were compared in one-year period. There was four acute rejection episodes in Preemptive patients and one delayed graft function in non-Preemptive patients. In preemptive patients the mean creatinine levels at 1 and 12 months were 1.3 ± 0.5 and 1.5 ± 0.6 mg/dl, and in non-preemptive patients 1.2 ± 0.2 and 1.3 ± 0.3 mg/dl. The ratios of medical and surgical complications were similar. Preemptive kidney transplantation is suggested in the selected end stage renal disease patient
Transplantation is defined as preemptive if it takes place before the initiation of chronic dialysis treatment. 8 (4.4%) preemptive kidney transplantations were performed in our center at that time. Preemptive and non-Preemptive renal transplant recipients included into the study. In both groups, graft functions and the frequency of medical and surgical complications were compared in one-year period. There was four acute rejection episodes in Preemptive patients and one delayed graft function in non-Preemptive patients. In preemptive patients the mean creatinine levels at 1 and 12 months were 1.3 ± 0.5 and 1.5 ± 0.6 mg/dl, and in non-preemptive patients 1.2 ± 0.2 and 1.3 ± 0.3 mg/dl. The ratios of medical and surgical complications were similar. Preemptive kidney transplantation is suggested in the selected end stage renal disease patient
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Keywords
Son dönem böbrek hastalığı, Preemptif transplantasyon, Renal replasman tedavisi, End stage renal disease, Preemptive transplantation, Renal replacement treatment
Citation
Ersoy, A. vd. (2006). "Preemptif ve non-preemptif renal transplant alıcılarının sonuçlarının karşılaştırılması". Uludağ Üniversitesi Tıp Fakültesi Dergisi, 32(3), 83-86.