Congresspapers


Transplantation Online


Zeitschrift

Transplantationsmedizin
* Einzelheftbezug

Instructions to authors


Industrieinformationen


Lexikon


Links


Impressum


Datenschutz


Kontakt

 

Home Kontakt    
TransplantationZeitschriftTransplantationsmedizin3/2010Oppert, M. et al.

Long Term Survival after Combined Liver- and Kidney Transplantation

M. Oppert, U. Neumann, A. Pascher, Ch. Storm, T. Lang, R. Neuhaus, U. Frei, P. Neuhaus, A. Kahl

Abstract
Combined liver and kidney transplantation is an established therapeutic option in patients with profound and irreversible liver and kidney failure. Patients with hepatitis B or C and chronic renal failure, with polycystic liver and kidney disease and patients with primary hyperoxaluria typ I (pHI) are the main groups of patients qualifying for this operation. We retrospectively evaluated long-term survival of 68 patients undergoing combined transplantation in our center from 1992 to 2008 and compared them regarding to their respective underlying liver disease. Patients had a median MELD score of 21 and were on dialysis for a median of 24 months. 74% of the patients were alive after a mean follow up period of 7.7 years. Eight patients died during hospital stay within six months. The 1-, 5- and 10-year survival is 88%, 80% and 63%, respectively and is comparable with the results of OLT alone. There were no differences regarding patient or organ survival within the three main diagnostic groups. Combined liver and kidney transplantation is a save therapeutic option for patients with end stage liver and kidney disease.

Key words: liver, kidney, transplantation, survival, oxalosis, hepatitis


Dr. Michael Oppert
Medizinische Klinik m. S. Nephrologie und internistische Intensivmedizin
Charité Campus Virchow-Klinikum
Universitätsmedizin Berlin
Augustenburger Platz 1
13353 Berlin
E-Mail:
oppert@bitte-keinen-spamcharite.de


 























F. Ambagtsheer, W. Weimar (Eds.)
The EULOD Project Living Organ Donation in Europe






G. Randhawa & S. Schicktanz (Eds.)
Public Engagement in Organ Donation and Transplantation






Akademie Niere (Hrsg.)
VI. Intensivkurs Nieren- und Hochdruckkrankheiten der Akademie Niere






B. Braam, K. Jindal, .J. Dorhout Mees
Hypertension and Cardiovascular Aspects of Dialysis Treatment






W.G. Land
Die (Un)sterblichkeit der Menschheit: dem Geheimnis auf der Spur






W.G. Land
Innate Alloimmunity: Part 1: Innate Immunity and Host Defense






W.G. Land
Innate Alloimmunity: Part 2: Innate Immunity and Allograft Rejection






G. Seyffart

Seyffart's Directory of Drug Dosage in Kidney Disease






W. Weimar, M. A. Bos, J. J. V. Busschbach (Eds.)

Organ Transplantation: Ethical, Legal and Psychosocial Aspects. Expanding the European Platform






Für den AKTX (Hrsg.): E. Homburg, P. Hecker

Transplantationspflege






Hanna Fleps, Martina Oebels, Maja Becker-Mohr (Hrsg.)

Absender? Unbekannt! Ratgeber und Geschichten von Kindern mit einem Spenderherz






Weimar, W., Bos, M. A., Busschbach, J. J. (Eds)

Organ Transplantation: Ethical, Legal and Psychosocial Aspects. Towards a Common European Policy






R. B. Brauer, M. Stangl, U. Heemann

Eine neue Niere ist wie ein neues Leben






A. und B. Markus

Der Weg in ein neues Leben - Die Lebertransplantation






B. M. Meiser, P. Überfuhr, R. B. Brauer, B. Reichart

Ein neues Herz ist wie ein neues Leben






Rudolf J. Tschaut

Extrakorporale Zirkulation in Theorie und Praxis






T. Gutmann, A. S. Daar, R. A. Sells, W. Land (Eds.)

Ethical, Legal, and Social Issues in Organ Transplantation






F. W. Albert, W. Land, E. Zwierlein (Hrsg.)

Transplantationsmedizin und Ethik - Auf dem Weg zu einem gesellschaftlichen Konsens


 

Copyright (C) 2003-2015 Pabst Science Publishers