{"id":4587,"date":"2014-01-07T10:08:00","date_gmt":"2014-01-07T12:08:00","guid":{"rendered":"https:\/\/revistaabcd.org.br\/?p=4587"},"modified":"2022-12-07T10:13:01","modified_gmt":"2022-12-07T13:13:01","slug":"combined-liver-kidney-transplantation-experience-at-a-brazilian-university-hospital","status":"publish","type":"post","link":"https:\/\/revistaabcd.org.br\/pt-br\/combined-liver-kidney-transplantation-experience-at-a-brazilian-university-hospital\/","title":{"rendered":"Combined liver-kidney transplantation: experience at a brazilian university hospital"},"content":{"rendered":"

Background:<\/h2>\n\n\n\n

Combined liver-kidney transplant is a routine procedure in many transplant centers. The increase in its number coincided with the introduction in 2002 of the MELD (Model for End-stage Liver Disease) score for allocation of livers, prioritizing patients with renal dysfunction.<\/p>\n\n\n\n

Aim<\/h2>\n\n\n\n

: To analyze the experience with combined liver-kidney transplantation in a liver transplant center in Brazil.<\/p>\n\n\n\n

Method<\/h2>\n\n\n\n

: A retrospective review was conducted. All transplants were performed using grafts from deceased donors.<\/p>\n\n\n\n

Results<\/h2>\n\n\n\n

: Sixteen combined liver-kidney transplantations were performed in the same period, which corresponds to 2.7% and 2.5% of the kidney and liver transplants, respectively. Fourteen patients were male (87.5 %) and two were female (12.5%). The average patients and donors age was 57.3\u00b19.1 and 32.7\u00b113.1, respectively. The MELD score mean was 23.6\u00b13.67. The main cause of liver dysfunction were chronic hepatitis C virus (n=9). As for renal dysfunction, diabetic nephropathy (n=4) was the most frequent. There were six deaths, two of them by severe dysfunction of the liver graft and four by infectious causes. The 1, 3 and 5 years survival rate in patients undergoing liver-kidney transplantations was 68.8%, 57.3% and 57.3%, respectively.<\/p>\n\n\n\n

Conclusion<\/h2>\n\n\n\n

: The survival rates achieved in this series are considered satisfactory and show that this procedure has an acceptable morbidity and survival.<\/p>","protected":false},"excerpt":{"rendered":"

Background: Combined liver-kidney transplant is a routine procedure in many transplant centers. The increase in its number coincided with the introduction in 2002 of the MELD (Model for End-stage Liver Disease) score for allocation of livers, prioritizing patients with renal dysfunction. Aim : To analyze the experience with combined liver-kidney transplantation in a liver transplant […]<\/p>","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[9],"tags":[1158,82,381],"class_list":["post-4587","post","type-post","status-publish","format-standard","hentry","category-original-article","tag-kidney-transplantation","tag-liver-transplantation","tag-survival"],"acf":[],"modified_by":"Giovani","_links":{"self":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/4587"}],"collection":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/comments?post=4587"}],"version-history":[{"count":0,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/4587\/revisions"}],"wp:attachment":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/media?parent=4587"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/categories?post=4587"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/tags?post=4587"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}