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Cholelithiasis in patients on the kidney transplant waiting list
OBJECTIVES: To evaluate the prevalence of cholecystopathy in chronic renal patients awaiting kidney transplants. INTRODUCTION: The prevalence and management of cholelithiasis in renal transplant patients is not well established. METHODS: A total of 342 chronic renal failure patients on the waiting l...
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Formato: | Texto |
Lenguaje: | English |
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Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2010
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2862676/ https://www.ncbi.nlm.nih.gov/pubmed/20454496 http://dx.doi.org/10.1590/S1807-59322010000400007 |
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author | Brito, André Thiago Scandiuzzi Azevedo, Luiz Sergio Nahas, Willian Carlos Matheus, André Siqueira Jukemura, José |
author_facet | Brito, André Thiago Scandiuzzi Azevedo, Luiz Sergio Nahas, Willian Carlos Matheus, André Siqueira Jukemura, José |
author_sort | Brito, André Thiago Scandiuzzi |
collection | PubMed |
description | OBJECTIVES: To evaluate the prevalence of cholecystopathy in chronic renal patients awaiting kidney transplants. INTRODUCTION: The prevalence and management of cholelithiasis in renal transplant patients is not well established. METHODS: A total of 342 chronic renal failure patients on the waiting list for a kidney transplant were studied. Patients were evaluated for the presence of cholelithiasis and related symptoms, previous cholecystectomies and other abdominal surgeries, time on dialysis, and general data (gender, age, number of pregnancies, and body mass index). RESULTS: Cholelithiasis was found in 41 out of 342 patients (12%). Twelve of these patients, all symptomatic, had previously undergone cholecystectomies. Five out of 29 patients who had not undergone surgery were symptomatic. Overall, 17 patients (41.5%) were symptomatic. Their mean age was 54 (range 32–74) years old; 61% were female, and their mean body mass index was 25.4. Nineteen (76%) out of 25 women had previously been pregnant, with an average of 3.6 pregnancies per woman. CONCLUSIONS: The frequency of cholelithiasis was similar to that reported in the literature for the general population. However, the high frequency of symptomatic patients points toward an indication of routine pre-transplant cholecystectomy to avoid serious post-transplant complications. |
format | Text |
id | pubmed-2862676 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-28626762010-05-07 Cholelithiasis in patients on the kidney transplant waiting list Brito, André Thiago Scandiuzzi Azevedo, Luiz Sergio Nahas, Willian Carlos Matheus, André Siqueira Jukemura, José Clinics (Sao Paulo) Clinical Sciences OBJECTIVES: To evaluate the prevalence of cholecystopathy in chronic renal patients awaiting kidney transplants. INTRODUCTION: The prevalence and management of cholelithiasis in renal transplant patients is not well established. METHODS: A total of 342 chronic renal failure patients on the waiting list for a kidney transplant were studied. Patients were evaluated for the presence of cholelithiasis and related symptoms, previous cholecystectomies and other abdominal surgeries, time on dialysis, and general data (gender, age, number of pregnancies, and body mass index). RESULTS: Cholelithiasis was found in 41 out of 342 patients (12%). Twelve of these patients, all symptomatic, had previously undergone cholecystectomies. Five out of 29 patients who had not undergone surgery were symptomatic. Overall, 17 patients (41.5%) were symptomatic. Their mean age was 54 (range 32–74) years old; 61% were female, and their mean body mass index was 25.4. Nineteen (76%) out of 25 women had previously been pregnant, with an average of 3.6 pregnancies per woman. CONCLUSIONS: The frequency of cholelithiasis was similar to that reported in the literature for the general population. However, the high frequency of symptomatic patients points toward an indication of routine pre-transplant cholecystectomy to avoid serious post-transplant complications. Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2010-04 /pmc/articles/PMC2862676/ /pubmed/20454496 http://dx.doi.org/10.1590/S1807-59322010000400007 Text en Copyright © 2010 Hospital das Clínicas da FMUSP http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Sciences Brito, André Thiago Scandiuzzi Azevedo, Luiz Sergio Nahas, Willian Carlos Matheus, André Siqueira Jukemura, José Cholelithiasis in patients on the kidney transplant waiting list |
title | Cholelithiasis in patients on the kidney transplant waiting list |
title_full | Cholelithiasis in patients on the kidney transplant waiting list |
title_fullStr | Cholelithiasis in patients on the kidney transplant waiting list |
title_full_unstemmed | Cholelithiasis in patients on the kidney transplant waiting list |
title_short | Cholelithiasis in patients on the kidney transplant waiting list |
title_sort | cholelithiasis in patients on the kidney transplant waiting list |
topic | Clinical Sciences |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2862676/ https://www.ncbi.nlm.nih.gov/pubmed/20454496 http://dx.doi.org/10.1590/S1807-59322010000400007 |
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