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The outcome of diverticulosis in kidney recipients with polycystic kidney disease.

Abstract：

INTRODUCTION:Diverticulosis is a common finding in autosomal-dominant polycystic kidney disease (ADPKD). To avoid the serious complications of diverticulosis after kidney transplantation, some policies have recommended aggressive actions, such as elective colectomy. These policies are not widely agreed upon. This controversy led us to investigate the serious complications and the outcome of diverticulosis in ADPKD kidney recipients to see whether such therapies are justified. MATERIALS AND METHODS:From 2002 to 2006, we followed 18 ADPKD kidney recipient patients with barium enema-documented diverticulosis. All subjects were asymptomatic for diverticulosis at the time of transplantation. The mean value +/- SD of follow-up duration was 25.4 +/- 28.5 months. We documented demographic data, familial history of ADPKD, barium enema findings, and complications as well as graft and patient survivals. RESULTS:Hepatic flexure was the most prevalent site for diverticula. The mean (SD) of diverticular count was 6 +/- 5.1. Patients with a familial history of ADPKD showed a higher number of diverticular (P=.01). Diverticulitis occurred in three patients, all of whom died. CONCLUSION:Diverticulitis is a fatal and not rare complication in ADPKD patients. The rate of complications in our study was similar to previous findings, but we observed serious complications even among patients asymptomatic at the time of transplantation. The decision to take aggressive action such as elective colectomy is still a matter of debate that needs further evaluation.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Pourfarziani V,Mousavi-Nayeeni SM,Ghaheri H,Assari S,Saadat SH,Panahi F,Noorbala MH,Vasei A,Norouzi AR,Simforoosh N

doi

10.1016/j.transproceed.2007.02.007

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

1054-6

issue

4

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(07)00129-7

journal_volume

39

pub_type

杂志文章

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