Yıl 2019, Cilt 82 , Sayı 3, Sayfalar 127 - 130 2019-07-16

EVALUATING THE CAUSES FOR REJECTION OF POTENTIAL LIVE-RENAL DONORS: SINGLE CENTER EXPERIENCE
POTANSİYEL CANLI BÖBREK VERİCİLERİNİN REDDEDİLME NEDENLERİNİN DEĞERLENDİRİLMESİ: TEK MERKEZ DENEYİMİ

Serkan Feyyaz YALIN [1] , Ergün PARMAKSIZ [2] , Meral MEŞE [3] , Zuhal DOĞU [4] , Nihal Derin ÇEÇEN [5] , Zerrin BİCİK BAHÇEBAŞI [6]


Objective: Renal transplantation provides better outcomes for end stage renal disease patients in comparison to dialysis. Living kidney donation provides better long-term patient and graft survival compared to deceased-donor transplantations. In the long term, complications such as mild proteinuria, an increase in blood pressure, preeclampsia, end stage renal disease and mortality are the main problems for donors. In this study, we aimed to evaluate the causes of kidney donor rejections in our hospital. Material and Method: The medical files of individuals presented as donor candidates were retrospectively examined. Screening tests, cross match test, tissue typing, routine evaluation of cardiologic system, respiratory system, psychiatric condition and cancer screenings, if necessary, were performed as part of the donor candidate work-up. Data was expressed as mean±SD. Results: Two hundred and forty five individuals presented themselves as donor candidates in our hospital. Of these, 118 patients could not be donors. Of these 118 individuals, 21 potential donors were rejected donor despite completing all evaluations. The main causes for rejection of 97 individuals were hypertension, diabetes mellitus-obesity and asymmetry in glomerular filtration rate/parenchymal abnormalities. In addition, we diagnosed cancer in 5 potential donors. Conclusion: Potential kidney donor evaluation is of paramount importance in order to minimize possible risks.
Amaç: Böbrek nakli diyaliz tedavisine gore son dönem böbrek yetmezlikli hastalarda daha iyi sonuçlar sağlamaktadır. Canlıdan böbrek nakli ise kadavradan böbrek nakline gore daha iyi hasta ve greft sağ kalımı sağlar. Öte yandan, uzun dönem komplikasyonlar olarak hafif proteinüri, kan basıncında artış, preeklampsi, son dönem böbrek hastalığı ve ölüm hala vericiler için önemli sorunlardır. Bu çalışmada, hastanemizdeki böbrek verici reddedilme nedenlerini değerlendirmeyi amaçladık. Gereç ve Yöntem: Verici adaylarının tıbbi bilgileri retrospektif olarak incelendi. Tarama testleri, cross match testi, doku tiplendirilmesi, rutin kardiyolojik, solunum sistemi, psikiyatrik durumlarının değerlendirilmesi ve gerekliyse kanser taraması yapıldı. Veriler ortalama±standard sapma olarak gösterildi. Bulgular: İki yüz kırkbeş birey verici adayı olarak başvurdu. Bunlardan 118’i donor olamadı. Bunların 21 tanesi tüm değerlendirmeler yapıldıktan sonra verici olmaktan vazgeçti. Kalan 97 bireyin en sık reddedilme nedenleri hipertansiyon, diyabetes mellitus-obezite, glomerular filtrasyon oranında asimetri-parankimal bozukluklar idi. Ayrıca , beş verici adayında kanser tanısı koyduk. Sonuç: Potansiyel böbrek verici adaylarının değerlendirilmesi, ileride çıkabilecek riskleri azaltmak için hayati önem taşımaktadır
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Birincil Dil en
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm ARAŞTIRMA
Yazarlar

Orcid: 0000-0002-8146-6966
Yazar: Serkan Feyyaz YALIN (Sorumlu Yazar)
Kurum: University of Health Sciences Kartal Dr. Lütfi Kırdar Training and Research Hospital
Ülke: Turkey


Orcid: 0000-0002-9009-376X
Yazar: Ergün PARMAKSIZ
Kurum: University of Health Sciences Kartal Dr. Lütfi Kırdar Training and Research Hospital
Ülke: Turkey


Orcid: 0000-0002-6104-2058
Yazar: Meral MEŞE
Kurum: University of Health Sciences Kartal Dr. Lütfi Kırdar Training and Research Hospital
Ülke: Turkey


Orcid: 0000-0002-7358-5893
Yazar: Zuhal DOĞU
Kurum: University of Health Sciences Kartal Dr. Lütfi Kırdar Training and Research Hospital
Ülke: Turkey


Orcid: 0000-0003-0564-0835
Yazar: Nihal Derin ÇEÇEN
Kurum: University of Health Sciences Kartal Dr. Lütfi Kırdar Training and Research Hospital
Ülke: Turkey


Orcid: 0000-0003-4740-2333
Yazar: Zerrin BİCİK BAHÇEBAŞI
Kurum: University of Health Sciences Kartal Dr. Lütfi Kırdar Training and Research Hospital
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 16 Temmuz 2019

Bibtex @araştırma makalesi { iuitfd548114, journal = {Journal of Istanbul Faculty of Medicine}, issn = {}, eissn = {1305-6441}, address = {}, publisher = {İstanbul Üniversitesi}, year = {2019}, volume = {82}, pages = {127 - 130}, doi = {10.26650/IUITFD.2019.0015}, title = {EVALUATING THE CAUSES FOR REJECTION OF POTENTIAL LIVE-RENAL DONORS: SINGLE CENTER EXPERIENCE}, key = {cite}, author = {YALIN, Serkan Feyyaz and PARMAKSIZ, Ergün and MEŞE, Meral and DOĞU, Zuhal and ÇEÇEN, Nihal Derin and BİCİK BAHÇEBAŞI, Zerrin} }
APA YALIN, S , PARMAKSIZ, E , MEŞE, M , DOĞU, Z , ÇEÇEN, N , BİCİK BAHÇEBAŞI, Z . (2019). EVALUATING THE CAUSES FOR REJECTION OF POTENTIAL LIVE-RENAL DONORS: SINGLE CENTER EXPERIENCE. Journal of Istanbul Faculty of Medicine , 82 (3) , 127-130 . DOI: 10.26650/IUITFD.2019.0015
MLA YALIN, S , PARMAKSIZ, E , MEŞE, M , DOĞU, Z , ÇEÇEN, N , BİCİK BAHÇEBAŞI, Z . "EVALUATING THE CAUSES FOR REJECTION OF POTENTIAL LIVE-RENAL DONORS: SINGLE CENTER EXPERIENCE". Journal of Istanbul Faculty of Medicine 82 (2019 ): 127-130 <https://dergipark.org.tr/tr/pub/iuitfd/issue/46082/548114>
Chicago YALIN, S , PARMAKSIZ, E , MEŞE, M , DOĞU, Z , ÇEÇEN, N , BİCİK BAHÇEBAŞI, Z . "EVALUATING THE CAUSES FOR REJECTION OF POTENTIAL LIVE-RENAL DONORS: SINGLE CENTER EXPERIENCE". Journal of Istanbul Faculty of Medicine 82 (2019 ): 127-130
RIS TY - JOUR T1 - EVALUATING THE CAUSES FOR REJECTION OF POTENTIAL LIVE-RENAL DONORS: SINGLE CENTER EXPERIENCE AU - Serkan Feyyaz YALIN , Ergün PARMAKSIZ , Meral MEŞE , Zuhal DOĞU , Nihal Derin ÇEÇEN , Zerrin BİCİK BAHÇEBAŞI Y1 - 2019 PY - 2019 N1 - doi: 10.26650/IUITFD.2019.0015 DO - 10.26650/IUITFD.2019.0015 T2 - Journal of Istanbul Faculty of Medicine JF - Journal JO - JOR SP - 127 EP - 130 VL - 82 IS - 3 SN - -1305-6441 M3 - doi: 10.26650/IUITFD.2019.0015 UR - https://doi.org/10.26650/IUITFD.2019.0015 Y2 - 2019 ER -
EndNote %0 İstanbul Tıp Fakültesi Dergisi EVALUATING THE CAUSES FOR REJECTION OF POTENTIAL LIVE-RENAL DONORS: SINGLE CENTER EXPERIENCE %A Serkan Feyyaz YALIN , Ergün PARMAKSIZ , Meral MEŞE , Zuhal DOĞU , Nihal Derin ÇEÇEN , Zerrin BİCİK BAHÇEBAŞI %T EVALUATING THE CAUSES FOR REJECTION OF POTENTIAL LIVE-RENAL DONORS: SINGLE CENTER EXPERIENCE %D 2019 %J Journal of Istanbul Faculty of Medicine %P -1305-6441 %V 82 %N 3 %R doi: 10.26650/IUITFD.2019.0015 %U 10.26650/IUITFD.2019.0015
ISNAD YALIN, Serkan Feyyaz , PARMAKSIZ, Ergün , MEŞE, Meral , DOĞU, Zuhal , ÇEÇEN, Nihal Derin , BİCİK BAHÇEBAŞI, Zerrin . "EVALUATING THE CAUSES FOR REJECTION OF POTENTIAL LIVE-RENAL DONORS: SINGLE CENTER EXPERIENCE". Journal of Istanbul Faculty of Medicine 82 / 3 (Temmuz 2019): 127-130 . https://doi.org/10.26650/IUITFD.2019.0015
AMA YALIN S , PARMAKSIZ E , MEŞE M , DOĞU Z , ÇEÇEN N , BİCİK BAHÇEBAŞI Z . EVALUATING THE CAUSES FOR REJECTION OF POTENTIAL LIVE-RENAL DONORS: SINGLE CENTER EXPERIENCE. İst Tıp Fak Derg. 2019; 82(3): 127-130.
Vancouver YALIN S , PARMAKSIZ E , MEŞE M , DOĞU Z , ÇEÇEN N , BİCİK BAHÇEBAŞI Z . EVALUATING THE CAUSES FOR REJECTION OF POTENTIAL LIVE-RENAL DONORS: SINGLE CENTER EXPERIENCE. Journal of Istanbul Faculty of Medicine. 2019; 82(3): 130-127.