Journal of Istanbul Faculty of Medicine

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DOI :10.26650/IUITFD.2019.0015   IUP :10.26650/IUITFD.2019.0015    Full Text (PDF)

POTANSİYEL CANLI BÖBREK VERİCİLERİNİN REDDEDİLME NEDENLERİNİN DEĞERLENDİRİLMESİ: TEK MERKEZ DENEYİMİ

Serkan Feyyaz Yalın, Ergün Parmaksız, Meral Meşe, Zuhal Doğu, Nihal Derin Çeçen, Zerrin Bicik Bahçebaşı

Amaç: Böbrek nakli diyaliz tedavisine gore son dönem böbrek yetmezlikli hastalarda daha iyi sonuçlar sağlamaktadır. Canlıdan böbrek nakli ise kadavradan böbrek nakline gore daha iyi hasta ve greft sağ kalımı sağlar. Öte yandan, uzun dönem komplikasyonlar olarak hafif proteinüri, kan basıncında artış, preeklampsi, son dönem böbrek hastalığı ve ölüm hala vericiler için önemli sorunlardır. Bu çalışmada, hastanemizdeki böbrek verici reddedilme nedenlerini değerlendirmeyi amaçladık. 

Gereç ve Yöntem: Verici adaylarının tıbbi bilgileri retrospektif olarak incelendi. Tarama testleri, cross match testi, doku tiplendirilmesi, rutin kardiyolojik, solunum sistemi, psikiyatrik durumlarının değerlendirilmesi ve gerekliyse kanser taraması yapıldı. Veriler ortalama±standard sapma olarak gösterildi. 

Bulgular: İki yüz kırkbeş birey verici adayı olarak başvurdu. Bunlardan 118’i donor olamadı. Bunların 21 tanesi tüm değerlendirmeler yapıldıktan sonra verici olmaktan vazgeçti. Kalan 97 bireyin en sık reddedilme nedenleri hipertansiyon, diyabetes mellitus-obezite, glomerular filtrasyon oranında asimetri-parankimal bozukluklar idi. Ayrıca , beş verici adayında kanser tanısı koyduk. 

Sonuç: Potansiyel böbrek verici adaylarının değerlendirilmesi, ileride çıkabilecek riskleri azaltmak için hayati önem taşımaktadır
Keywords: Böbrek nakli, canlı böbrek verici adayı, hipertansiyon
DOI :10.26650/IUITFD.2019.0015   IUP :10.26650/IUITFD.2019.0015    Full Text (PDF)

EVALUATING THE CAUSES FOR REJECTION OF POTENTIAL LIVE-RENAL DONORS: SINGLE CENTER EXPERIENCE

Serkan Feyyaz Yalın, Ergün Parmaksız, Meral Meşe, Zuhal Doğu, Nihal Derin Çeçen, Zerrin Bicik Bahçebaşı

Objective: Renal transplantation provides better outcomes for end stage renal disease patients in comparison to dialysis. Living kidney donation provides better long-term patient and graft survival compared to deceased-donor transplantations. In the long term, complications such as mild proteinuria, an increase in blood pressure, preeclampsia, end stage renal disease and mortality are the main problems for donors. In this study, we aimed to evaluate the causes of kidney donor rejections in our hospital. 

Material and Method: The medical files of individuals presented as donor candidates were retrospectively examined. Screening tests, cross match test, tissue typing, routine evaluation of cardiologic system, respiratory system, psychiatric condition and cancer screenings, if necessary, were performed as part of the donor candidate work-up. Data was expressed as mean±SD. 

Results: Two hundred and forty five individuals presented themselves as donor candidates in our hospital. Of these, 118 patients could not be donors. Of these 118 individuals, 21 potential donors were rejected donor despite completing all evaluations. The main causes for rejection of 97 individuals were hypertension, diabetes mellitus-obesity and asymmetry in glomerular filtration rate/parenchymal abnormalities. In addition, we diagnosed cancer in 5 potential donors. 

Conclusion: Potential kidney donor evaluation is of paramount importance in order to minimize possible risks. 
Keywords: Renal transplantation, living kidney donor candidate, hypertension

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APA

Yalın, S., Parmaksız, E., Meşe, M., Doğu, Z., Çeçen, N., & Bicik Bahçebaşı, Z. (2019). POTANSİYEL CANLI BÖBREK VERİCİLERİNİN REDDEDİLME NEDENLERİNİN DEĞERLENDİRİLMESİ: TEK MERKEZ DENEYİMİ. Journal of Istanbul Faculty of Medicine, 82(3), 127-130. https://doi.org/10.26650/IUITFD.2019.0015


AMA

Yalın S, Parmaksız E, Meşe M, Doğu Z, Çeçen N, Bicik Bahçebaşı Z. POTANSİYEL CANLI BÖBREK VERİCİLERİNİN REDDEDİLME NEDENLERİNİN DEĞERLENDİRİLMESİ: TEK MERKEZ DENEYİMİ. Journal of Istanbul Faculty of Medicine. 2019;82(3):127-130. https://doi.org/10.26650/IUITFD.2019.0015


ABNT

Yalın, S.; Parmaksız, E.; Meşe, M.; Doğu, Z.; Çeçen, N.; Bicik Bahçebaşı, Z. POTANSİYEL CANLI BÖBREK VERİCİLERİNİN REDDEDİLME NEDENLERİNİN DEĞERLENDİRİLMESİ: TEK MERKEZ DENEYİMİ. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 82, n. 3, p. 127-130, 2019.


Chicago: Author-Date Style

Yalın, Serkan Feyyaz, and Ergün Parmaksız and Meral Meşe and Zuhal Doğu and Nihal Derin Çeçen and Zerrin Bicik Bahçebaşı. 2019. “POTANSİYEL CANLI BÖBREK VERİCİLERİNİN REDDEDİLME NEDENLERİNİN DEĞERLENDİRİLMESİ: TEK MERKEZ DENEYİMİ.” Journal of Istanbul Faculty of Medicine 82, no. 3: 127-130. https://doi.org/10.26650/IUITFD.2019.0015


Chicago: Humanities Style

Yalın, Serkan Feyyaz, and Ergün Parmaksız and Meral Meşe and Zuhal Doğu and Nihal Derin Çeçen and Zerrin Bicik Bahçebaşı. “POTANSİYEL CANLI BÖBREK VERİCİLERİNİN REDDEDİLME NEDENLERİNİN DEĞERLENDİRİLMESİ: TEK MERKEZ DENEYİMİ.” Journal of Istanbul Faculty of Medicine 82, no. 3 (May. 2025): 127-130. https://doi.org/10.26650/IUITFD.2019.0015


Harvard: Australian Style

Yalın, S & Parmaksız, E & Meşe, M & Doğu, Z & Çeçen, N & Bicik Bahçebaşı, Z 2019, 'POTANSİYEL CANLI BÖBREK VERİCİLERİNİN REDDEDİLME NEDENLERİNİN DEĞERLENDİRİLMESİ: TEK MERKEZ DENEYİMİ', Journal of Istanbul Faculty of Medicine, vol. 82, no. 3, pp. 127-130, viewed 23 May. 2025, https://doi.org/10.26650/IUITFD.2019.0015


Harvard: Author-Date Style

Yalın, S. and Parmaksız, E. and Meşe, M. and Doğu, Z. and Çeçen, N. and Bicik Bahçebaşı, Z. (2019) ‘POTANSİYEL CANLI BÖBREK VERİCİLERİNİN REDDEDİLME NEDENLERİNİN DEĞERLENDİRİLMESİ: TEK MERKEZ DENEYİMİ’, Journal of Istanbul Faculty of Medicine, 82(3), pp. 127-130. https://doi.org/10.26650/IUITFD.2019.0015 (23 May. 2025).


MLA

Yalın, Serkan Feyyaz, and Ergün Parmaksız and Meral Meşe and Zuhal Doğu and Nihal Derin Çeçen and Zerrin Bicik Bahçebaşı. “POTANSİYEL CANLI BÖBREK VERİCİLERİNİN REDDEDİLME NEDENLERİNİN DEĞERLENDİRİLMESİ: TEK MERKEZ DENEYİMİ.” Journal of Istanbul Faculty of Medicine, vol. 82, no. 3, 2019, pp. 127-130. [Database Container], https://doi.org/10.26650/IUITFD.2019.0015


Vancouver

Yalın S, Parmaksız E, Meşe M, Doğu Z, Çeçen N, Bicik Bahçebaşı Z. POTANSİYEL CANLI BÖBREK VERİCİLERİNİN REDDEDİLME NEDENLERİNİN DEĞERLENDİRİLMESİ: TEK MERKEZ DENEYİMİ. Journal of Istanbul Faculty of Medicine [Internet]. 23 May. 2025 [cited 23 May. 2025];82(3):127-130. Available from: https://doi.org/10.26650/IUITFD.2019.0015 doi: 10.26650/IUITFD.2019.0015


ISNAD

Yalın, Serkan Feyyaz - Parmaksız, Ergün - Meşe, Meral - Doğu, Zuhal - Çeçen, Nihal Derin - Bicik Bahçebaşı, Zerrin. “POTANSİYEL CANLI BÖBREK VERİCİLERİNİN REDDEDİLME NEDENLERİNİN DEĞERLENDİRİLMESİ: TEK MERKEZ DENEYİMİ”. Journal of Istanbul Faculty of Medicine 82/3 (May. 2025): 127-130. https://doi.org/10.26650/IUITFD.2019.0015



TIMELINE


Submitted08.02.2019
Accepted15.02.2019
Published Online25.03.2019

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