Short-tem post renal transplant follow-up at medina al unaware

Abstract EN

We reviewed the records of the renal transplant patients followed at our hospital to determine short-term outcome and complications.

Sixty-five renal transplant patients, followup for two years were included in this study.

Of these patients 40 (61.5%) were males, 33 (50.7%) were Saudis with mean age of 37.2 ± 11.7 years.

Donors were living related (LRD) in 23 (35%), living non-related (LNRD) in 27 (42%) and cadaveric (CAD) in 15 (23%).

Thirtytwo transplants were carried out at Medinah, 21 in India and the rest in other centers inside Saudi Arabia.

Immunosuppression was based on a triple therapy (Cyclosporin, Azathioprine, and Prednisone).

At two years, 52 (80%) patients were alive, with functioning graft in 31 (58%).

Causes of death among 13 patients (11 LNRD & 2 CAD) were infections in 7 (54%), immediate post transplant in three (22.7%), acute myocardial infarction in two (15.7%), CVA in one (7.6%).

Complications encountered were acute rejection (23 episodes) in 18 923.6%) patients, infections in 19 (25%), chronic rejection in 16 (21.5%), surgical in 13 917.1%), diabetes mellitus in 5 (6.5%) primary non-function in three (3.8%) and Kaposi Sarcoma in two (2.4%).

Twenty-six (81.25%) out of 32 transplants performed in Madinah were functioning, four (12.5%) patients returned to dialysis and two (6.25%) patients died.

Among the 21 transplants done in India 11 (52%) patients died, six (28.6%) returned to dialysis, and four (19.4%) had function deteriorated in all patients.

We conclude that despite limitations, results of renal transplantation carried out at Madinah are encouraging on short-term basis.

Live related transplant has a very good outcome, while commercial transplantation carries poor prognosis.