Kidney transplant in pediatric patients with severe bladder pathology. (10th August 2015)

• Record Type: Journal Article
• Authors: Sierralta, María Consuelo; González, Gloria; Nome, Claudio; Pinilla, Cesar; Correa, Ramón; Mansilla, Juan; Rodríguez, Jorge; Delucchi, Angela; Ossandón, Francisco
• Is Part Of: Pediatric transplantation. Volume 19:Number 7(2015:Nov.)
• Page Start: 675
• Page End: 683
• Publication Date: 2015-08-10
• Subjects: Transplantation of organs, tissues, etc. in children -- Periodicals; 617.95408305
• DOI: 10.1111/petr.12567
• Languages: English
• ISSNs: 1397-3142

Abstract

<abstract abstract-type="main" id="petr12567-abs-0001"> <title>Abstract</title> <p>The aim of the current study was to compare results in pediatric renal transplantation of patients with and without SBP. Between 2001 and 2013, a total of 168 kidney transplants were performed at our center. A retrospective analysis was performed and recipients were divided into two groups: NB and SBP. Incidence of surgical complications after procedure, and graft and patient survival were evaluated. A total of 155 recipients (92%) with complete data were analyzed, and 13 recipients that had had previous bladder surgeries were excluded (11 with VUR surgery and two with previous kidney transplants), of the 155 recipients: 123 (79%) patients had NB, and 32 (21%) patients had SBP, with a median follow‐up of 60 (1–137) and 52 (1–144) months, respectively. Among post‐transplant complications, UTI (68.8% vs. 23%, p &lt; 0.0001) and symptomatic VUR to the graft (40.6% vs. 7.3%, p &lt; 0.0001) were significantly higher in the SBP group. There was no significant difference in overall graft and patient survival between groups. Renal transplantation is safe in pediatric recipients with SBP; however, urologic complications such as UTI and VUR were significantly higher in this group. Graft and patient survival was similar in SBP and NB groups.</p> </abstract>