Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Long-term results of kidney transplantation between HLA-identical siblings
Autore:
Moon, JI; Kim, YS; Chung, SY; Kim, MS; Kim, SI; Park, K;
Indirizzi:
Yonsei Univ, Coll Med, Dept Surg, Seoul 120752, South Korea Yonsei Univ Seoul South Korea 120752 ept Surg, Seoul 120752, South Korea
Titolo Testata:
SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY
fascicolo: 2, volume: 31, anno: 2001,
pagine: 123 - 128
SICI:
0941-1291(2001)31:2<123:LROKTB>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
SINGLE-CENTER EXPERIENCE; RENAL-TRANSPLANTATION; RECIPIENTS; COMPLICATIONS; REJECTION; SURVIVAL;
Keywords:
kidney transplantation; HLA-identical siblings;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Kim, YS Yonsei Univ, Coll Med, Dept Surg, 134 Shinchon Dong, Seoul 120752,South Korea Yonsei Univ 134 Shinchon Dong Seoul South Korea 120752 outh Korea
Citazione:
J.I. Moon et al., "Long-term results of kidney transplantation between HLA-identical siblings", SURG TODAY, 31(2), 2001, pp. 123-128

Abstract

Long-term data on HLA-identical renal transplants are scarce, and the advantages of using cyclosporine (CsA) over azathioprine (AZA) have yet to be elucidated. In 68 recipients from HLA-identical donors (37 under AZA-steroids and 31 under CsA-steroids), we estimated the graft and patient survival to posttransplant 120 months, and compared the results between patients on different protocols. Episodes of rejection, causes of graft loss or patient death, and longterm complications were also compared retrospectively. The 10-year patient/graft survivals were comparable: 82.7/67.6% for the AZA and 78.4/63.5% for the CsA patients. The incidence of acute rejection during the first year after transplant was also comparable. We lost 25 grafts. The major causes of graft loss were patient death (7/13 in AZA and 5/12 in CsA patients) and chronic rejection (3/13 in AZA and 3/12 in CsA patients). Fourgrafts were lost due to poor compliance. We lost 12 patients due mostly tocerebrovascular disease and infections. There was no difference in the prevalence of complications between patients. In con elusion, the long-term outcome was excellent in this subgroup of transplant patients. We could not find any advantages of using CsA over AZA in these patients after a long-term follow-up. To achieve better results, continued attention should be paid to the prevention of poor compliance and complications.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 11:36:46