| ID | 144 |
|---|---|
| Name | KIDNEY TRANSPLANTATION: |
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| Introduction | In patients with end-stage renal disease (ESRD), kidney transplantation is the best way of complete replacement of kidney functions of the pateint with long-term survival. All patients with (ESRD) should be considered for transplantation unless there are active contraindication. Contraindications to kidney transplantation: Absolute: 1. Active malignancy- a period of at least 2 years of complete remission recommended for most rumours. 2. Active vusculitis or recent anti-GBM disease. 3. Severe heart disease. 4. Severe occlusive aorto-iliac vascular disease. Relative: 1. Age- transplants are not routinely practice in very young children (<1 year) or older people (> 75 years). 2. High risk of disease recurrence in the transplant kidney. 3. Disease of the lower urinary tract- in patients with impaired bladder function, an ileal conduit may be considered. 4. Significant comorbidity. |
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