Kidney transplantation : efficacy, safety and outcomes / Robert C. Morgan, editor.

Format:

Book

Contributor:

Morgan, Robert C. (Editor at Nova Science Publishers), editor.

Series:

Nephrology Research and Clinical Developments

Language:

English

Subjects (All):

Transplantation of organs, tissues, etc.

Kidneys--Transplantation.

Kidneys.

Physical Description:

1 online resource (116 pages)

Place of Publication:

New York, New York : Nova Science Publishers, [2021]

Summary:

"Kidney transplantation is a medical procedure performed on patients with end-stage kidney disease that can increase their life expectancy by several years. However, the procedure involves some risk and potential complications. Chapter One of this monograph summarizes the current strategy for diagnosis and treatment of chronic kidney disease-associated mineral bone disease (CKD-MBD) in kidney transplant recipients and aims to demonstrate the latest findings and therapeutic options in the field beyond recent published guidelines. Chapter Two describes the necessity of involving a psychiatrist in the transplant team to facilitate positive outcomes in kidney transplants, as psychological factors can contribute to treatment non-compliance and other issues. Chapter Three defines the surgical techniques used in living donor nephrectomy, discusses the use and reliability of these techniques in different patient groups, and examines the long-term follow-up results of donors and recipients. Lastly, Chapter Four discusses the variables involved in treating patients with autosomal dominant polycystic kidney disease (ADPCKD), whose enlarged and deformed kidneys can complicate kidney transplantation"-- Provided by publisher.

Contents:

Intro

Contents

Preface

Chapter 1

Calcium - Phosphorus Metabolism and Mineral - Bone Disease after Kidney Transplantation

Abstract

1. Introduction

2. Role of the Kidney in Calcium-Phosphorus Metabolism: Healthy Subjects

3. Calcium-Phosphorus Metabolism in Chronic Kidney Disease (CKD). CKD-Related Mineral Bone Disease (MBD)

3.1. Pathophysiology

3.2. CKD-MBD: Biochemical Abnormalities

3.3. CKD-MBD: Bone Disease

3.5. CKD-MBD: Vascular Involvement

3.5.1. CKD-MBD

3.5.2. Atherosclerosis

4. Post-Transplant Calcium-Phosphorus Metabolism and MBD

4.1. Post-Transplant Calcium - Phosphorus Metabolism: Pathophysiology and Biochemical Abnormalities

4.1.1. Vitamin D

4.1.2. Calcium, Phosphate, PTH

4.1.3. Monitoring and Treatment of CaP Abnormalities

4.2. Post-Transplant Calcium - Phosphorus Metabolism: Bone Disease

4.2.1. Diagnosis and Fracture Risk Evaluation

4.2.1.1. Bone Mineral Density (BMD)

4.2.1.2. FRAX Score

4.2.1.3. Bone Biopsy

4.2.1.4. Bone Turnover Markers (BTMs)

4.2.1.5. Other Tools

4.2.2. Treatment of Post-Transplant Bone Disease

4.2.2.1. Calcium, Phosphate, Vitamin D Supplementation/Calcitriol/Vitamin D Analogues

4.2.2.2. Calcimimetics

4.2.2.3. Antiresorptive Therapy: Bisphosphonates

4.2.2.4. Antiresorptive Therapy: Denosumab

4.2.2.5. PTH Analogues

4.2.2.6. Parathyroidectomy

4.2.2.7. Other Therapeutic Options

4.3. Post-Transplant Calcium - Phosphorus Metabolism: Vascular Calcification

4.3.1. Diagnosis and Clinical Importance of Post-Transplant VC

4.3.2. Treatment of Post-Transplant VC

4.3.2.1. Immunosuppression

4.3.2.2. Vitamin D Supplementation

4.3.2.3. Other Therapeutic Options

Conclusion

References

Chapter 2

Psychosocial Assessment of the Live Kidney Donor and Recipient

1. Introduction.

1.1. Psychosocial Evaluation of the Recipient in the Pre-Transplant Period

1.1.1. Assessments

1.1.2. Approach to Psychological Conditions and Psychopathologies

1.1.3. Cognitive Assessment

1.1.4. Social Support Assessment

1.1.5. Assessment Tools

1.1.6. Psychosocial Requirements for Renal Transplantation

1.2. Psychosocial Evaluation of the Live Donor

1.3. Post-Transplant Follow-Up

Chapter 3

Donor Nephrectomy Techniques

Introduction

Surgery Techniques

Open Donor Nephrectomy

Minimal Invasive Open Donor Nephrectomy

Laparoscopic Transperitoneal Donor Nephrectomy

Retroperitoneoscopic Donor Nephrectomy

Hand-Assisted Laparoscopic/Retroperitoneoscopic Donor Nephrectomy

Robot-Assisted Donor Nephrectomy

Operational Variables

Donor Nephrectomy Side

Multiple Renal Arteries and Veins

Warm Ischemia Time and Duration of Surgery

Elderly Donors

Obese Donors

Post-Operative Variables

Complications

Long-Term Follow-Up

Recipient Kidney Function

Cost

Chapter 4

Nephrectomy Timing for Polycystic Kidneys in Autosomal Dominant Polycystic Kidney Disease Patients Listed for Transplantation

Autosomal Dominant Polycystic Kidney Disease

Pre-Transplant Evaluation

Native Nephrectomy of Renal Transplant Recipients

with Autosomal-Dominant Polycystic Kidney Disease

Indications for Native Nephrectomy

Nephrectomy Procedures

Multiorgan Transplantation

Use of ADPBH Kidneys As Donor Kidney

Index

Blank Page.

Notes:

Includes bibliographical references and index.

Description based on print version record.

ISBN:

1-5361-9823-4

OCLC:

1257666289