계명대학교 의학도서관 Repository

신이식 대상자의 방광요관역류가 술후 요로 감염 및 이식신 생존에 미치는 영향

Metadata Downloads
Author(s)
류동수박철희이성준조원현박성배김현철Dong Soo RyuChoal Hee ParkSung Choon LeeWon Hyun ChoSung Bae ParkHyun Chul Kim
Keimyung Author(s)
Park, Choal HeeLee, Sung JoonCho, Won HyunPark, Sung BaeKim, Hyun Chul
Department
Dept. of Urology (비뇨의학)
Dept. of Surgery (외과학)
Dept. of Internal Medicine (내과학)
Journal Title
대한비뇨기과학회지
Issued Date
1994
Volume
35
Issue
7
Abstract
A policy concerning vesicoureteral reflux (VUR) in the renal transplantation candidate has been surgical correction or nephroureterectomy before renal transplantation because theoretically immunosuppression can favour the occurrence of urinary tract infection(UTI), pyelonephritis or bacteremia. Nevertheless, surgical procedures prior to transplantation are associated with considerable morbidity and majority of teams have adopted a more conservative approach. The post-transplantation urinary morbidity of reflux patients is not well known. From November 1982 to October 1992, 247 living renal transplantation were performed by our kidney transplantation team. Of 247 patients who obtained voiding cystourethrography before transplantation, 209 patients (84.6% ) were checked urinalysis, serum BUN/creatinine and graft status following surgery every a week. Native VUR was seen to occur in 24 of the 209( 11.5%). Acute pyelonephritis( 16.7% vs 8.6% ) and graft survival(29% vs 23%) were not correlated with the presence or absence of reflux. Regardless of reflux, most of UTI episodes(79 %), including, pyelonephritis and asymptomatic UTI, developed within the first year of surgery. In summary, pre-transplantation surgicalcorrection or nephroureterectomy should not be per formed routinely in VUR patients because of a little morbidity and similar incidence of UTI episodes to that of non-reflux patients. Close attention and prompt, specific treatment is necessary to minimize the adverse influence of UTI during the first year following renal transplantation.
Key word : Vesicoureteral reflux, Native Kidney, Transplantation.
Alternative Title
Impact of Vesicoureteral Reflux of the Renal Transplantation Candidate on Urinary Tract Infection and Graft Survival
Keimyung Author(s)(Kor)
박철희
이성준
조원현
박성배
김현철
Publisher
School of Medicine
Citation
류동수 et al. (1994). 신이식 대상자의 방광요관역류가 술후 요로 감염 및 이식신 생존에 미치는 영향. 대한비뇨기과학회지, 35(7), 770–774.
Type
Article
ISSN
2005-6737
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38762
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
1. School of Medicine (의과대학) > Dept. of Urology (비뇨의학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.