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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1998-11-30
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pubmed:abstractText |
Patients with an augmented or diverted urinary system are considered higher risk recipients in view of increased technical problems and infective complications. We studied the long-term renal graft function and survival in patients with a pretransplant ileal conduit or ileal/caecocystoplasty. Between 1986 and 1997, 14 of 1253 (1.1%) renal transplant recipients had their transplant ureters anastomosed into an abnormal urinary tract. These consisted of ten ileal conduits and four ileal/caecocystoplasties. Median follow up was 42 months (range 1-156). All ten ileal conduits were discharged with a functioning graft. There was one graft loss chronic rejection and one cardiac death. The median creatinine level was 130 mmol/l and 50% have a urinary infection. All the patients with an ileal/caecocystoplasty were discharged with a functioning graft and these are still functioning; median creatinine of 132 mmol/l and 75% have a urinary infection. One- and 3-year graft survival was 93% and 86%. We conclude that the long-term outcome of renal transplantation in carefully assessed patients with an abnormal urinary tract is satisfactory despite a high incidence of urinary infection.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0934-0874
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
11 Suppl 1
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
S147-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9664966-Adult,
pubmed-meshheading:9664966-Aged,
pubmed-meshheading:9664966-Drainage,
pubmed-meshheading:9664966-Female,
pubmed-meshheading:9664966-Follow-Up Studies,
pubmed-meshheading:9664966-Graft Survival,
pubmed-meshheading:9664966-Humans,
pubmed-meshheading:9664966-Ileum,
pubmed-meshheading:9664966-Kidney Transplantation,
pubmed-meshheading:9664966-Male,
pubmed-meshheading:9664966-Middle Aged,
pubmed-meshheading:9664966-Retrospective Studies,
pubmed-meshheading:9664966-Time Factors,
pubmed-meshheading:9664966-Treatment Outcome,
pubmed-meshheading:9664966-Ureter,
pubmed-meshheading:9664966-Urinary Bladder,
pubmed-meshheading:9664966-Urinary Diversion
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pubmed:year |
1998
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pubmed:articleTitle |
Long-term adult renal graft outcome after ureteric drainage into an augmented bladder or ileal conduit.
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pubmed:affiliation |
Transplant Unit, Freeman Hospital, Newcastle Upon Tyne, UK.
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pubmed:publicationType |
Journal Article
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