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Register a new userVascular Complications in Kidney Transplant Patients
الاختلاطات الوعائية عند مرضى زرع الكلية
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Damascus University ورقة بحثية
Publication date
2011
fields
Medicine
and research's language is
العربية
Created by
Shamra Editor
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تعد الاختلاطات الوعائية من الاختلاطات المهمة بعد زرع الكلية و التي تؤثر في بقيا المريض و بقيا الطعم . هناك عوامل متعددة تؤدي دوراً في حدوث هذه الاختلاطات مثل العوامل التقنية و العوامل التشريحية. هدفت الدراسة إلى تحديد نسبة حدوث الاختلاطات الوعائية عند مرضى زرع الكلية فضلاً عن الأعراض و العلامات المميزة لهذه الاختلاطات و وسائل التشخيص و طرائق العلاج و النتائج.
vascular complications are impotent after kidney Transplantation, They influence on patient and graft survival . There are a lot of factors that play are a role in incidence of these vascular compilations as technical and anatomical ones . the aim is to determine the incidence of vascular complications in kidney transplant patients in addition to signs and symptoms related to these complications, diagnosis modalities, management and results.
References used
Akbar SA, Jafri SZ, Amendola MA, et al: complication of renal transplantation . Radiographics, 2005 25 : 1335 – 1356
Audard V,Matignon M,Henery F,et al: Risk factors and long-term outcome of transplant renal artery stenosis in adult recipient after treatment by percutaneous trans luminal angioplasty. Am J Transplant,2006, 6: 95-99
Baxter GM: Imaging in renal transplantation . Ultrasound,2006, Q19: 123-138
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The vascular complications of the disc surgery are rare , but maybe very dangerous. the early diagnosis and emergency surgery of these complications maybe the better job , and this depend sure the technical experience of vascular specialist . In this
study ,we identified the causes , the risk factors of these complications , the important role of the neurosurgical specialist and the importance of anatomy which is deferant in every patient .
We also carried out a comparison among many international studies involving the vascular complications of disc surgery . In this study , we assured that the emergency vascular surgery is very important to cure these patients .
Early and accurate detection of kidney involvement in primary and secondary glomerulopathy, and therapeutic regimen mayimprove outcomes. Renal biopsy is required for definitive diagnosisof renal disease.
This study investigated whether patients with
proteinuria < 1500 my/24 h without ARF have significant renal disease and should be biopsied. 50 patientsunderwent kidney biopsies during 2011-2013 in Al-Assad University Hospital and Al-Mousah University Hospital in Damascus. Sixteen of them have 24-h urine protein < 1500 mg andnormal kidney function.Female to male ratio was 3:1. Five patients(31.25%) have MN, 3 patients (18.75%) have FSGS, 2 patients (12.5%) have MCD, one case (6.25%) MPGN, and finely 5 patients (31.25%) have LNfrom which there is a case with class I,2 cases with class III(superimposed classV),and a case with IV(superimposed classV), and one case with class V.Out of 8 patients without hematuria at the time of biopsy, 2 (25%) had MN, 2 (25%) had FSGS,one patient(12.5%) MCD, 3 patients(37.5%) had LN.Three patients (18.75%) hadproteinuria <500 mg/24 h, andwere diagnosed with (MN,MCD,MPGN).Our findings showa significant renal involvement(MN-FSGS-MPGN-LN), whichreveals the importanceof conducting biopsyearly and routinely in the patient population.
renal biopsy
proteinuria
(Focal Segmental Glomerulosclerosis (FSGS
(Membranous Nephropathy (MN
(Lupus Nephritis (LN
(Membranoproliferative Glomerulonephritis (MPGN
(Minimal Change Disease (MCD
خزعة الكلية
بيلة بروتينية
تصلب كبي قطعي بؤري
التهاب كبب و كلية غشائي تكاثري
اعتلال كلوي ذئبي
اعتلال كلوي غشائي
الداء قليل التبدلات
المزيد..
Back pound: Patients with end stage renal disease (ESRD) and lower urinary tract anomalies (LUTA) are often considered high risk for renal transplantation.
Methods and subjects: To evaluate the degree of risk, we have reviewed our experience of 17 p
atients with (ESRD) and (LUTA). The study was carried out in Almoussat university hospital, between 5/ 2003 and 5/2009. After a detailed urological assessment, the patients had been undergone either non-continent cutaneous diversion (Bricker) (Two patients) or continent cutaneous diversion with bladder augmentation (14 patients), before renal transplantation.
Results: The patient and graft survival rates were 84.62% and 100%, respectively. The presence of an ileal conduit did not adversely affect graft survival. And the commonest complication was persistent urinary tract infection, which occurred in all patients (100%), but didn’t cause any graft loss. However two patients died because of systemic infections and their graft function was
good.
Conclusion: Renal transplantation is a satisfactory option for patients with ESRD due to LUTA, but it is important to carry out detailed urological assessment prior to the transplant procedure.
Purpose: We evaluated the safety of ESWL (Extracorporeal Shockwave Lithotripsy).
Materials and Methods: A total of 300 patients with stones located in the kidney or
the upper ureter were randomly divided into 3 groups, group A—100 who received ESWL
and they do not use anticoagulation drugs and thy do not have problems with kidneys, liver
or pancreas B—100 who received ESWL and they use anticoagulation drugs C—100 who
received ESWL and they have one kidney. Radiologic and laboratory follow up were
performed in the first week by:US –UREA-CR-ALT-AST-AMILAS. Statistical analysis
was performed using the chi square test and Anova test.
Results: The hematomas rate was 10.5%.Rates elevation of urea and cr was
(27%, 5%). Rate elevation of alt–ast was 12%, and for amylase was 6%, without clear
pathology.
Conclusions: ESWL is an easy, noninvasive, safe and active management of the
urinary stones, and we should be care full with some factors, which can increase its
complications and decrease its activity.
Oral complications are common in patients with cancer who
undergo chemotherapy treatment. Not all patients are at equal risk
for developing oral complications. A number of variables have been
identified that bear on both the frequency and severity
of oral
problems associated with therapy. These can be divided into those
that are associated with the patient and those that are related to the
treatment regimen. In this study we have studied the effect of
patient age and gender on the oral complications in group of patients
who undergo chemotherapy treatment. We conclude that aging can
affect some oral complication chemotherapy like xerostomia and
taste changes whereas gender has it effect on pain and oral sence
disorders mainly in males.
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