| Item type |
デフォルトアイテムタイプ（フル）fmu(1) |
| 公開日 |
2025-04-23 |
| タイトル |
|
|
タイトル |
Clinical outcomes of simultaneous pancreas-kidney transplantation: experience of a single center |
|
言語 |
en |
| 作成者 |
Kenjo, Akira
Sato, Naoya
Azuma, Takayasu
Nishimagi, Atsushi
Tsukida, Shigeyuki
Suzushino, Seiko
Muto, Makoto
Chiba, Hiroto
Watanabe, Junichiro
Haga, Junichiro
Kofunato, Yasuhide
Ishigame, Teruhide
Kimura, Takashi
Marubashi, Shigeru
|
| 権利情報 |
|
|
権利情報Resource |
https://creativecommons.org/licenses/by-nc-sa/4.0/ |
|
権利情報 |
© 2025 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license. |
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
This study evaluated the outcomes of simultaneous pancreas-kidney transplantation (SPK) at Fukushima Medical University between 2001 and 2024. We retrospectively reviewed ten adult patients who underwent SPK. We aimed to clarify the important aspects of patient management in patients undergoing SPK, focusing on perioperative outcomes and long-term complications. The median postoperative observation period was 1,968 days. Postoperative complications were observed in all patients. Most were classified as Clavien-Dindo (CD) grade I or II, but major complications, including CD grade IIIa or higher, were observed in four patients (40%) with zero mortality. Despite the loss of one kidney graft due to primary non-function, the 5-year survival rates for both patients and pancreatic grafts remained at 100%. However, there was one case each of pancreatic graft loss, kidney graft loss, and patient death after 5 years post-transplantation, all attributed to late-onset complications, including recurrent type 1 diabetes, focal segmental glomerulosclerosis, and cardiovascular disease. The short-term outcomes of SPK at our institution were favorable, with a trend toward a reduction in the comprehensive complication index (CCI) observed in the latter five cases compared with the first five cases, suggesting potential improvements in perioperative management. Long-term monitoring and collaboration with physicians are essential to enhance patient outcomes. |
| 出版者 |
|
|
出版者 |
The Fukushima Society of Medical Science |
| 言語 |
|
|
言語 |
eng |
| 書誌情報 |
en : Fukushima journal of medical science
巻 75,
号 2,
p. 119-128,
発行日 2025
|
| 関連情報 |
|
|
関連タイプ |
isIdenticalTo |
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.5387/fms.24-00052 |
| 関連情報 |
|
|
|
識別子タイプ |
PMID |
|
|
関連識別子 |
39909445 |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
0016-2590 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
2185-4610 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA0065246X |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
pancreas transplantation |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
graft survival |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
comprehensive complication index |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
late-onset complication |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Humans |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Kidney Transplantation |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Pancreas Transplantation |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Male |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Female |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Adult |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Retrospective Studies |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Middle Aged |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Treatment Outcome |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Postoperative Complications |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Aged |
FksmJMedSci_71_p119.pdf
