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신장 이식후 방광요관역류: 요로 감염과 위험도

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Author(s)
류동수김거환박철희이성준조원현이수형박성배김현철Dong Soo RyuGeo Hwan KimChoal Hee ParkSung Choon LeeWon Hyun ChoSoo Hyeung LeeSung 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
1993
Volume
34
Issue
3
Abstract
Vesicoureteric reflux into the transplanted kidney has been described, but in general it has been disregarded and is not mentioned as a complication in recent reviews. But it may be harmful to the renal function in the long-term and has high incidence of symptomatic pyelonephritis with urinary tract infection in other studies. We studied prospectively 37 patients, who received living renal transplantation without complete antireflux surgery, out of 45 patients during the period from June 1991 to September 1992. Voiding cystourethrogram and urine culture were obtained all least once in 37 of 45 patients (82.2%) and serum BUN/creatinine and urinalysis were checked following surgery, weekly. These patients did not demonstrate an increased incidence of reflux, urinary tract infection or abnormalities of renal function. We conclude that a simple direct implantation of a normal ureter into a normal bladder is safe and should be considered the procedure of choice in renal transplantation and recommend that all functioning transplants be studied at yearly intervals with an IVP and VCUG to determine the true incidence of urologic complications.
Key word : Vesicoureteric reflux, Renal transplantation, Urinary tract infection.
Alternative Title
Vesicoureteric Reflux following Renal Transplantation : Urinary Tract Infection and Risks
Keimyung Author(s)(Kor)
박철희
이성준
조원현
박성배
김현철
Publisher
School of Medicine
Citation
류동수 et al. (1993). 신장 이식후 방광요관역류: 요로 감염과 위험도. 대한비뇨기과학회지, 34(3), 488–493.
Type
Article
ISSN
2005-6737
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38763
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)
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