Compensatory Hypertrophy After Living Donor Nephrectomy.

Abstract:

BACKGROUND:Previous studies have shown that kidney volume enhances the estimation of glomerular filtration rate (eGFR) in kidney donors. This study aimed to describe the phenomenon of compensatory hypertrophy after donor nephrectomy as measured on computerized tomographic (CT) scans. METHODS:An institutional Domain Specific Review Board (DSRB)-approved study involved approaching kidney donors to have a follow up CT scan from 6 months to 1 year after surgery; 29 patients participated; 55% were female. Clinical chart review was performed, and the patient's remaining kidney volume was measured before and after surgery based on CT scans. eGFR was determined with the use of the Modification of Diet in Renal Disease equation. RESULTS:Mean parenchymal volume of the remaining kidney for this population (mean age, 44.3 ± 8.5 y) was 204.7 ± 82.5 cc before surgery and 250.5 ± 113.3 cc after donor nephrectomy. Compensatory hypertrophy occurred in 79.3% of patients (n = 23). Mean increase in remaining kidney volume was 22.4 ± 23.2% after donor nephrectomy in healthy individuals. Over a median follow-up of 52.9 ± 19.8 months, mean eGFR was 68.9 ± 12.4 mL/min/1.73 m(2), with 24.1% of patients (n = 7) in chronic kidney disease grade 3. Absolute and relative change in kidney volume was not associated with sex, race, surgical approach, or background of hypertension (P = NS). There was a trend of decreased hypertrophy with increasing age (P = .5; Spearman correlation, -0.12). CONCLUSIONS:In healthy kidney donors, compensatory hypertrophy of the remaining kidney occurs in 79.3% of the patients, with an average increment of about 22.4%. Older patients may have a blunted compensatory hypertrophy response after surgery.

journal_name

Transplant Proc

authors

Chen KW,Wu MW,Chen Z,Tai BC,Goh YS,Lata R,Vathsala A,Tiong HY

doi

10.1016/j.transproceed.2015.12.082

subject

Has Abstract

pub_date

2016-04-01 00:00:00

pages

716-9

issue

3

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(16)00181-0

journal_volume

48

pub_type

杂志文章
  • Chronic rejection: risk factors, regulation, and possible sites of therapeutic intervention.

    abstract::Clinical chronic rejection corresponds histologically to proliferative allograft vasculopathy. This disorder reflects the cumulative trauma to the allograft regardless of its origin. As a consequence of trauma, inflammation is generated, leading to endothelial and smooth muscle cell activation, smooth muscle replicati...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/s0041-1345(98)00670-8

    authors: Häyry P

    更新日期:1998-08-01 00:00:00

  • Level of Life Quality in Heart and Kidney Transplant Recipients: A Multicenter Study.

    abstract:OBJECTIVE:The main objective of the researchers was to determine the level of life quality among heart and kidney transplant recipients depending on the time and type of the transplant. METHODS:The study was conducted using standardized questionnaires: the 36-Item Short-Form Health Survey, Life Orientation Test-Revise...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.transproceed.2020.03.038

    authors: Milaniak I,Rużyczka EW,Dębska G,Król B,Wierzbicki K,Tomaszek L,Przybyłowski P

    更新日期:2020-09-01 00:00:00

  • Old male living renal transplant recipients more likely to be at risk for colorectal cancer.

    abstract:BACKGROUND:The development of posttransplant malignancy is a well-recognized complication of kidney transplantation due to immunosuppressive therapy. The literature on colorectal malignancy in living renal transplant recipients are limited; most of the data have been collected from deceased donor cases. As living kidne...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.transproceed.2011.01.073

    authors: Rostami Z,Einollahi B,Lessan-Pezeshki M,Nourbala MH,Nemati E,Pourfarziani V,Shahbazian H,Khosravi M,Jalalzadeh M

    更新日期:2011-03-01 00:00:00

  • Living Donor Liver Transplantation for Progressive Familial Intrahepatic Cholestasis Type 1: Two Reported Cases.

    abstract:BACKGROUND:Progressive familial intrahepatic cholestasis type 1 (PFIC1) is an inherited disease characterized by cholestatic features. We report two patients with PFIC1 who underwent liver retransplantation. CASE REPORT:One patient was a 3-year-old female who underwent liver transplantation for PFIC1. She presented wi...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2017.03.035

    authors: Oya Y,Sugawara Y,Honda M,Yoshii D,Isono K,Hayashida S,Yamamoto H,Inomata Y

    更新日期:2017-06-01 00:00:00

  • Posttransplant lymphoproliferative disorder in pediatric liver transplantation.

    abstract::The success rate of pediatric liver transplantation has improved in recent years. Advances in immunosuppression have reduced the risk of rejection, but have enhanced the risk of posttransplant lymphoproliferative disorder (PTLD). Since 1994, we have performed 197 orthotopic liver transplantations in 157 recipients you...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2009.06.132

    authors: Uribe M,Hunter B,Alba A,Calabrán L,Flores L,Soto P,Herzog C

    更新日期:2009-07-01 00:00:00

  • Anxiety, depression and emotional profile in renal transplant recipients and healthy subjects: a comparative study.

    abstract:BACKGROUND:Renal transplantation is a well established treatment for end-stage renal disease. However, recipients have been shown to develop emotional distress and affective disorders, such as anxiety and depression, associated with a compromised quality of life. Some accounts report an improvement of affective disorde...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2010.08.056

    authors: Pascazio L,Nardone IB,Clarici A,Enzmann G,Grignetti M,Panzetta GO,Vecchiet C

    更新日期:2010-11-01 00:00:00

  • Biliary reconstruction without T-tube in liver transplantation.

    abstract::Biliary complications have been reported in 9% to 34% of liver transplant patients. Although most centers seem to prefer a duct-to-duct anastomosis without a T-tube when feasible, the best method of biliary reconstruction remains controversial. The aim of this study was to review our experience on reconstruction of th...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2004.03.103

    authors: Bacchella T,Figueira ER,Makdissi FF,Rocha-Santos V,Martino RB,Andraus W,Canedo LF,Machado MA,Machado MC

    更新日期:2004-05-01 00:00:00

  • Magnetic resonance imaging of hyaline cartilage regeneration in neocartilage graft implantation.

    abstract:BACKGROUND:The purpose of this study was to investigate the regenerative potential of hyaline cartilage in a neocartilage graft implant with the aid of MR cartilage imaging using a rabbit model. METHODS:Surgical osteochondral defects were created in the femoral condyles of 30 mature New Zealand rabbits. The findings o...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2003.10.019

    authors: Tan CF,Ng KK,Ng SH,Cheung YC

    更新日期:2003-12-01 00:00:00

  • Alleviating ischemia-reperfusion injury in aged rat liver by induction of heme oxygenase-1.

    abstract:BACKGROUND:Heme oxygenase-1 (HO-1), a cytoprotective protein, may be important in ameliorating hepatic ischemia-reperfusion (I/R) injury, a critical factor in the dysfunction of the aged liver after transplantation. METHODS:We used hemin to overexpress HO-1 and analyze its effects in a model of I/R in aged livers used...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2004.10.066

    authors: Wang XH,Wang K,Zhang F,Li XC,Qian XF,Cheng F,Li GQ,Fan Y

    更新日期:2004-12-01 00:00:00

  • Analysis of sexual function in kidney transplanted men.

    abstract:INTRODUCTION:Sexual dysfunction among renal failure and kidney transplant patients remains controversial. The aim of this study was to evaluate sexual functions of men on hemodialysis compared with patients undergoing kidney transplantation. MATERIALS AND METHODS:Our study was based on 36 end-stage renal disease (ESRD...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2008.07.141

    authors: Barroso LV,Miranda EP,Cruz NI,Medeiros MA,Araújo AC,Mota Filho FH,Medeiros FC

    更新日期:2008-12-01 00:00:00

  • Topical photodynamic therapy of actinic keratosis in renal transplant recipients.

    abstract::Organ transplant recipients (OTRs) show an increased risk of precancerous (mostly actinic keratosis [AK]) and cancerous (mostly squamous cell carcinomas [SCC] and basal cell carcinomas [BCC]) cutaneous lesions. Their frequency increases with time after transplantation. AKs seem to progress more often and faster to inv...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2007.05.040

    authors: Piaserico S,Belloni Fortina A,Rigotti P,Rossi B,Baldan N,Alaibac M,Marchini F

    更新日期:2007-07-01 00:00:00

  • How long should we follow the post-transplantation patient after graft loss? A case report of renal cancer in the grafted kidney that occurred 16 years after graft loss.

    abstract:BACKGROUND:Renal cancers commonly occur in the native kidneys of renal transplant recipients, whereas renal cancer in the grafted kidney has been reported occasionally. Renal cancer in the grafted kidney occurred 16 years after graft loss in this case, which would be a more rare case. CASE REPORT:A 60-year-old man who...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2013.11.017

    authors: Akioka K,Masuda K,Harada S,Nakao T,Nakamura T,Okugawa K,Nakano K,Osaka Y,Tsuchiya K,Sako H

    更新日期:2014-01-01 00:00:00

  • Attitudes of the Third-Year Nursing Students Toward Organ Donation: Cross-Sectional Study.

    abstract:BACKGROUND:Health professionals can affect attitudes toward organ donation in society; therefore, priority should be given to exploration of attitudes of nursing students as important prospective members of the health profession. The goal of this study was to assess nursing students' attitudes and volunteerism toward o...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2017.04.024

    authors: Akpınar Söylemez B,Ordin YS

    更新日期:2017-10-01 00:00:00

  • Modified quantitative subjective global assessment of nutrition in patients on the renal transplant waiting list.

    abstract::Subjective global assessment (SGA) of nutritional status is a widely used and validated method for identifying and classifying malnutrition. It has been thought that this semiquantitative feature restricts the reliability and precision of the SGA. Recently, in an effort to assess nutritional status, a modified quantit...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2008.10.036

    authors: Demirağ A,Kalayci M,Kantarci G,Gökçe O

    更新日期:2009-01-01 00:00:00

  • Factors associated with persistent thrombocytopenia after liver transplantation.

    abstract:BACKGROUND:Thrombocytopenia typically resolves with resolution of portal hypertension after liver transplantation (LT) but persists in some patients. Identifying risk factors associated with persistent post- LT thrombocytopenia may provide important information about its pathogenesis. METHODS:Cirrhotic adults with pla...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2010.02.075

    authors: Stanca CM,Fiel MI,Aledort L,Cohen E,del Rio Martin J,Schiano TD

    更新日期:2010-06-01 00:00:00

  • Urologic complications in 1523 renal transplantations: The Baskent University experience.

    abstract::Urologic complications, observed since the beginning of renal transplantation, cause significant morbidity and mortality. In the first few years the procedure was performed, incidence of urologic complications was reported to be 10% to 25%. Recently, the incidence of urologic complications after renal transplantation ...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2005.12.116

    authors: Dalgic A,Boyvat F,Karakayali H,Moray G,Emiroglu R,Haberal M

    更新日期:2006-03-01 00:00:00

  • Influence of methicillin-resistant Staphylococcus aureus carrier status in liver transplant recipients.

    abstract::The prevalence of methicillin-resistant Staphylococus aureus (MRSA) has increased worldwide and MRSA has emerged as an important cause of sepsis in cirrhotic patients and liver transplant recipients. In this retrospective study, the prevalence of MRSA colonization and its influence on infections following orthotopic l...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2005.03.136

    authors: Woeste G,Zapletal C,Wullstein C,Golling M,Bechstein WO

    更新日期:2005-05-01 00:00:00

  • Protective effect of Berberine pretreatment in hepatic ischemia/reperfusion injury of rat.

    abstract:BACKGROUND:Berberine (BBR) has been demonstrated to protect against hepatic ischemia/reperfusion (I/R) injury. However, the exact mechanism is largely unknown. In the present study, we examined the role of phosphatidylinositol 3-kinase/protein kinase B (PI3K/Akt) and mammalian target of rapamycin (mTOR) in the protecti...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2015.01.010

    authors: Sheng M,Zhou Y,Yu W,Weng Y,Xu R,Du H

    更新日期:2015-03-01 00:00:00

  • Management of venous access problems before and after intestinal transplantation: case reports.

    abstract::Patients suffering irreversible loss of intestinal function require total parenteral nutrition (TPN). During long-term TPN, catheter infections are a common problem and intestinal transplantation (ITx) is indicated when patients experience loss of venous access. We report two patients with short bowel syndrome--one be...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2004.01.083

    authors: Braun F,Platz KP,Faendrich F,Kremer B,Mueller AR

    更新日期:2004-03-01 00:00:00

  • Molecular aspects of immune recognition of cytomegalovirus.

    abstract::The studies discussed in this presentation have shown that CD8 T lymphocytes have a primary role in conferring resistance to MCMV in the immunocompetent BALB/c mouse. In the presence of selective CD8 deficiency, however, other mechanisms, apparently mediated by the CD4 T-cell subset, contribute in a compensatory fashi...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章,评审

    doi:

    authors: Koszinowski UH

    更新日期:1991-06-01 00:00:00

  • Association of hyperglycemia on allograft function in the early period after renal transplantation.

    abstract::Hyperglycemia is common following renal transplantation. This study was conducted to evaluate the relationship of perioperative serum glucose levels and acute rejection in 100 nondiabetic patients who underwent renal transplantation. Blood glucose was measured immediately following surgery and every 6 hours during the...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2007.03.030

    authors: Ganji MR,Charkhchian M,Hakemi M,Nederi GH,Solymanian T,Saddadi F,Amini M,Najafi I

    更新日期:2007-05-01 00:00:00

  • Long-term comparison of rat model of chronic allograft rejection of orthotopic small bowel transplantation induced by cyclosporine versus tacrolimus.

    abstract:OBJECTIVE:To establish 2 models of long-term chronic allograft rejection (CR) of orthotopic small bowel transplantation (OSBT) using cyclosporine (CsA) or tacrolimus (FK506). METHODS:F344 and Lewis rats served as donors and recipients respectively for OSBT. In the study 1, the rat was administered CsA (5 mg/kg/d) intr...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2012.12.012

    authors: Li Y,Zhu Y,Wang J,Wei W,Wu B,Li J

    更新日期:2013-06-01 00:00:00

  • Very Long-term Survival of the Transplanted Kidney-Characteristics of Recipients.

    abstract:BACKGROUND:After kidney transplantation (KTx), donor- and recipient-dependent factors, as well as the immunosuppression protocol, may have an impact long-term graft function. The aim of this retrospective study was to identify and describe recipients from a single center who had their transplanted kidney survive for mo...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2018.02.114

    authors: Karcz M,Kusztal M,Boratyńska M,Klinger M

    更新日期:2018-01-01 00:00:00

  • Thromboelastography-guided transfusion decreases intraoperative blood transfusion during orthotopic liver transplantation: randomized clinical trial.

    abstract:OBJECTIVE:To test in a prospective randomized study the hypothesis that use of thromboelastography (TEG) decreases blood transfusion during major surgery. MATERIAL AND METHODS:Twenty-eight patients undergoing orthotopic liver transplantation were recruited over 2 years. Patients were randomized into 2 groups: those mo...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.transproceed.2010.05.144

    authors: Wang SC,Shieh JF,Chang KY,Chu YC,Liu CS,Loong CC,Chan KH,Mandell S,Tsou MY

    更新日期:2010-09-01 00:00:00

  • Two doses of daclizumab with delayed introduction of low-dose tacrolimus in elderly recipients of cadaveric renal transplants from donors >55 years of age.

    abstract:BACKGROUND:Renal transplants from elderly donors have a high incidence of delayed graft function, which can be increased by the initial use of calcineurin inhibitors. Our purpose was to assess the safety and efficacy of an immunosuppressive regimen using anti-IL-2R antibodies and MMF that allows delayed introduction of...

    journal_title:Transplantation proceedings

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.transproceed.2005.02.039

    authors: Osuna A,Gentil MA,Capdevila L,Cantarell C,Mazuecos A,Pereira P,Rodríguez-Algarra G,González-Molina M,Spanish Kidney Transplant of Elderly Donor Study Group.

    更新日期:2005-04-01 00:00:00

  • Clinical pharmacokinetics of tacrolimus after the first oral administration in combination with mycophenolate mofetil and prednisone in Chinese renal transplant recipients.

    abstract:INTRODUCTION:Data on tacrolimus pharmacokinetics in combination with mycophenolate mofetil and prednisone are scarce in Chinese renal transplantation recipients. The purpose of this study was to detect interpatient pharmacokinetic variability of tacrolimus and to assess the predictability of individual tacrolimus conce...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2005.11.055

    authors: Chen YH,Zheng KL,Chen LZ,Dai YP,Fei JG,Qiu J,Li J

    更新日期:2005-12-01 00:00:00

  • C2 monitoring of cyclosporine in stable renal transplant patients results in lower costs and improved renal function.

    abstract:INTRODUCTION:C2 (2-hour post-absorption levels) monitoring of cyclosporine (CsA) seems to reduce the rate of acute rejection episodes (ARE) without increasing nephrotoxicity during the first months after transplant. There are a few reports on the impact of adopting this strategy in patients with stable renal transplant...

    journal_title:Transplantation proceedings

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.transproceed.2004.09.016

    authors: Domínguez J,Fuenzalida D,Norambuena R,Pais E,Cortes Monroy G,Llanos R

    更新日期:2005-04-01 00:00:00

  • A preliminary study on the feasibility of gene expression profile of rhesus monkey detected with human microarray.

    abstract:OBJECTIVES:A pig-to-monkey transplant model was initiated to investigate the outcome of pig-to-human xenotransplantation. Though monkey is close to human in biology and physiology, the genetic differences between the two species remains unclear. This study sought to compare the gene expressions of three tissues from hu...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2008.01.029

    authors: Lu YR,Wang LN,Jin X,Chen YN,Cong C,Yuan Y,Li YC,Tang WD,Li HX,Wu XT,Li YP,Wang L,Cheng JQ

    更新日期:2008-03-01 00:00:00

  • Effect of circulatory assistance on premature death and long-term prognosis.

    abstract:BACKGROUND:Patients undergoing urgent heart transplantation (HT) have a poorer prognosis and more long-term complications. The objective of this study was to compare the preoperative course in patients undergoing urgent HT according to the need for preoperative intra-aortic balloon counterpulsation (IABP). MATERIALS A...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2008.08.114

    authors: Sánchez Lázaro IJ,Almenar Bonet L,Martínez-Dolz L,Moro López J,Rueda Soriano J,Arnau Vives MA,Buendía Fuentes F,Ortiz Martínez V,Cano Pérez O,Sánchez Soriano R,Salvador Sanz A

    更新日期:2008-11-01 00:00:00

  • Evaluation of Epstein-Barr virus-specific immunologic response in solid organ transplant recipients with an enzyme-linked ImmunoSpot assay.

    abstract::Epstein-Barr virus (EBV) is a γ-herpes virus, responsible for infectious mononucleosis in immunocompetent hosts. Cellular immunity appears rapidly during EBV primary infection, keeping it silent despite long-life persistence in B lymphocytes. Defects of the EBV-specific cellular immunity are supposed to be the basis o...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2013.07.033

    authors: Rittà M,Costa C,Sinesi F,Sidoti F,Di Nauta A,Mantovani S,Piceghello A,Simeone S,Ricci D,Boffini M,Solidoro P,Baldi S,Segoloni GP,Cavallo R

    更新日期:2013-09-01 00:00:00