[Simultaneous living donor pancreas-kidney transplantation in a patient with type 1 diabetes mellitus after program hemodialysis. Case report].
A S SeverinaA A TskaevaM I YevloyevaM S ShamkhalovaM V ShestakovaPublished in: Terapevticheskii arkhiv (2023)
Simultaneous pancreas-kidney transplantation is an effective treatment option for end-stage renal disease with diabetes mellitus. Successful simultaneous pancreas-kidney transplantation allows achieving euglycemia, stabilizing existing microvascular complications and slowing their progression, improving the patient's quality of life, lipid and calcium-phosphorus metabolism, reducing the risks of cardiovascular events. Therefore, in view of the patient's severe general condition due to prolonged intoxication, hyperglycemia and other complications of chronic kidney disease, the earliest possible surgical treatment with minimization of the patient's stay on dialysis therapy is crucial to improve the outcome of transplantation.
Keyphrases
- kidney transplantation
- chronic kidney disease
- end stage renal disease
- case report
- peritoneal dialysis
- cardiovascular events
- coronary artery disease
- cardiovascular disease
- risk factors
- type diabetes
- stem cells
- quality improvement
- metabolic syndrome
- early onset
- climate change
- heavy metals
- fatty acid
- glycemic control
- drug induced