engleski

PERITONEAL DIALYSIS AND KIDNEY TRANSPLANTATION

Aim: Our aim was to investigate the number of peritoneal dialysis (PD) patients treated with PD and kidney transplantation (KT), as well as the short and long-term outcomes of their transplantation. Methods:From January 1990 to January 2014, 155 ESRD patients (60.7% males) were treated with PD in our Centre. In the same period we have been analyzed 57 PD patients that were treated with KT. We were interested to analyze the number and characteristics of ESRD patients treated with PD, as well as to investigate renal allografts’ survival, the number of hospitalizations during the first-year after transplantation, as well as the incidence of delayed graft function (DGF) and incidence of acute rejection crisis (ARC). Results:Of 155 PD patients, 100 were involved in active program of KT in our Centre. The pretransplantation examinations were lasted from 1-78 months. In further analysis we have been analyzed 57 PD patients (57.9% females) that were received kidney allograft ; mean age 55.3±11.5 years. The most common etiology of chronic kidney disease was chronic glomerulonephritis (33.3%). In the period from 1990−2009, PD patients were only sporadically treated with KT in our Centre. Since 2009, the number of PD patients undergoing KT has been increasing. During the first year after KT, six (10.5%) patients loss their transplant, mainly due to renal allograft thrombosis. The average readmission rate during the first year after KT was 0.8±0.9, while the mean length of initial hospital stay was 30.2±13.4 days. The most common indication for readmission were infections (31%), mainly uroinfections. DGF was observed in 36.8% of patients, while six (10.5%) patients had ARC during the first postoperative year. Conclusion:During the last five years, the number of PD patients undergoing KT in our Centre has been increasing. One-year graft survival is around 90% in our PD patients. The most common reason for graft loss is renal allograft thrombosis.

peritoneal dialysis; transplantation

nije evidentirano