Eş zamanlı böbrek ve pankreas naklinin son dönem böbrek yetmezliği ile birlikte olan diyabet tedavisindeki yeri: Olgu üzerinden tartışma ve yeni yaklaşımlar

Yıl 2016, Cilt: 1 Sayı: 1, 5 - 9, 01.02.2016

İlhami Soykan Barlas , Ebru Asmaz Ayşe Sinangil Ahmet Vedat Çelik Tevfik Ecder

Öz

Tip 1 diyabet, mikrovasküler ve makrovasküler komplikasyonlarla ilerleyen hastayı son dönem böbrek yetmezliğine götürebilen, pankreas adacık hücrelerinin kaybıyla karakterize otoimmün bir hastalıktır. Diyaliz ve insülin tedavisi, bu hastalara yaşama şansı tanırken, düşük yaşam kalitesi ve ilerleyici komplikasyonlar hastaları en çok zorlayan etkenlerdir. Eş zamanlı pankreas-böbrek nakli, bu grup hastada, hastanın yaşam kalitesini ve süresini artıran, normoglisemik kan düzeyiyle diyalizden bağımsız yaşamı sağlayan en önemli tedavi yöntemidir. Bu yazıda, eş zamanlı pankreas-böbrek nakli gerçekleştirilen bir olguyu, ameliyat tekniğini, tedavi sonuçlarını ve yeni yaklaşımları değerlendirdik.

Anahtar Kelimeler

Diyabet, eş zamanlı böbrek ve pankreas nakli, tedavi

Kaynakça

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