演題情報

学会・委員会企画

開催回
第59回・2014年・神戸
 

Medical complications after kidney transplantation from living donnor

演題番号 : GI-10-2-1

Pham Va Bui:1

1:University of Medicine Pham Ngoc Thach, Viet Nam

 

Background: Among three replacement therapies- hemodialysis, peritoneal dialysis and renal transplantation- for patients with end stage kidney disease, renal transplantation is the best. However, there are many postoperative complications threatening the survival of patients as well as transplant. Our objectives were to study the medical complications after kidney transplantation from living donor.
Patients and Methods:Thirty three patients with renal transplantation done in the 115 People Hospital from January 2004 to July 2008 were included in a cross - sectional retrospective study.
Results:2 Two patients presented myocardial infarction and cerebrovascular accident. 96.43% of patients were hypertensive, 75% had dyslipidermia, and 35.7% posttransplantation diabetes mellitus. The prevalence of anemia at 1 month , 6 month , 1 year and 3 year after transplantation was 42.9% , 28.6% , 12.3% and 33% respectively. Infections included Pneumonia(3.03%), Zona(6.06%), pulmonary tuberculosis(3.03%), and hepatitis B (reactivation of HBV(3.03%). Patient survival rate at 6 month, 1 year, 3 year was 79.16% , 100% , 81.81% respectively. Graft survival rate at 6 month, 1 year and 3 year was 91.66% , 100% , 90.90% respectively.Mortality rate was 21.21%. All patients died of severe infection or cardiovascular diseases occurring in the period between the first and fifth month postoperatively.
Conclusions:Technically, kidney transplantation was not difficult. However, medical complications especially infection and cardiovascular complications can badly affect the patients’ outcome

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