{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T18:10:24Z","timestamp":1648663824050},"reference-count":11,"publisher":"Akademiai Kiado Zrt.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2007,4,1]]},"abstract":"Absztrakt<\/jats:title>\n A dializ\u00e1lt betegek sz\u00e1m\u00e1nak n\u00f6veked\u00e9si \u00fctem\u00e9t a transzplant\u00e1ci\u00f3k sz\u00e1ma, a donor sz\u00e1m lass\u00fa n\u00f6veked\u00e9se miatt nem tudja k\u00f6vetni. A haszn\u00e1lhat\u00f3 szervek sz\u00e1m\u00e1nak n\u00f6vel\u00e9s\u00e9re a rokon \u00e9s nem rokon \u00e9l\u0151 donorok szervei haszn\u00e1lhat\u00f3ak, valamint meghat\u00e1rozott felt\u00e9telek mellett margin\u00e1lis donorok (extended criteria donors) ves\u00e9i. Ezen ut\u00f3bbi ves\u00e9kn\u00e9l a megfelel\u0151 funkci\u00f3 el\u00e9r\u00e9s\u00e9hez a donor mindk\u00e9t ves\u00e9j\u00e9nek egy recipiensbe val\u00f3 be\u00fcltet\u00e9se sz\u00fcks\u00e9ges.<\/jats:p>\n A Texasi Egyetem transzplant\u00e1ci\u00f3s oszt\u00e1ly\u00e1n k\u00e9t \u00e9v alatt 5 betegn\u00e9l v\u00e9gezt\u00fcnk kett\u0151s vese be\u00fcltet\u00e9st olyan szervek felhaszn\u00e1l\u00e1s\u00e1val, melyeket hagyom\u00e1nyos transzplant\u00e1ci\u00f3ra egyik transzplant\u00e1ci\u00f3s oszt\u00e1ly sem fogadott el. A ves\u00e9ket egyoldalra, retroperitonealis felt\u00e1r\u00e1sb\u00f3l, a fossa iliacaba helyezt\u00fck.<\/jats:p>\n A recipiensek \u00e1tlag \u00e9letkora 44.4 \u00e9v volt, k\u00e9t beteg a magas immunologiai rizik\u00f3 csoporthoz tartozott. A be\u00fcltet\u00e9s ut\u00e1n mind az 5 betegn\u00e9l azonnali vesem\u0171k\u00f6d\u00e9st \u00e9szlelt\u00fcnk. Az \u00e1tlagos k\u00f3rh\u00e1zban tart\u00f3zkod\u00e1si id\u0151 (6.25 nap) alatt a transzplant\u00e1ci\u00f3t megel\u0151z\u0151 1000\u00b5mol\/l feletti \u00e1tlagos sz\u00e9rum kreatinin szint 350 \u00b5mol\/l-re cs\u00f6kkent. A glomerulus filtr\u00e1ci\u00f3s r\u00e1ta (GFR) 7 ml\/percr\u0151l 41 ml\/percre emelkedett. K\u00e9t betegn\u00e9l zajlott, a vesefunkci\u00f3t is l\u00e9nyegesen ront\u00f3 akut rejekci\u00f3. A k\u00e9t\u00e9ves k\u00f6vet\u00e9si id\u0151 alatt egyik beteg\u00fcnk sem ig\u00e9nyelt hemodializist.<\/jats:p>\n \u00d6sszefoglalva, a kett\u0151s vese transzplant\u00e1ci\u00f3 j\u00f3 megold\u00e1snak aj\u00e1nlhat\u00f3. \u00dagy gondoljuk, hogy k\u00f6vetkezetes \u00e9s megfontolt szelekci\u00f3val olyan ves\u00e9k \u2013 amelyek \u00f6nmagukban nem voln\u00e1nak k\u00e9pesek megfelel\u0151 vesefunkci\u00f3 biztos\u00edt\u00e1s\u00e1ra \u2013 kett\u0151s vese be\u00fcltet\u00e9sk\u00e9nt felhaszn\u00e1l\u00e1sra ker\u00fclhetnek.<\/jats:p>","DOI":"10.1556\/maseb.60.2007.2.5","type":"journal-article","created":{"date-parts":[[2008,11,1]],"date-time":"2008-11-01T02:03:47Z","timestamp":1225505027000},"page":"90-94","source":"Crossref","is-referenced-by-count":0,"title":["Kett\u0151s vese \u00e1t\u00fcltet\u00e9s \u2013 egy lehet\u0151s\u00e9g a transzplant\u00e1ci\u00f3k sz\u00e1m\u00e1nak n\u00f6vel\u00e9s\u00e9rer"],"prefix":"10.1556","volume":"60","author":[{"given":"Zsolt","family":"Csap\u00f3","sequence":"first","affiliation":[{"name":"1 University of Texas Medical School, Houston, Texas, USA"},{"name":"2 I. sz. 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Seb\u00e9szeti Klinika, Semmelweis Egyetem Budapest, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barry D.","family":"Kahan","sequence":"additional","affiliation":[{"name":"1 University of Texas Medical School, Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hemangshu","family":"Podder","sequence":"additional","affiliation":[{"name":"1 University of Texas Medical School, Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"1","unstructured":"UNOS Database http:\/\/www.unos.org<\/a>"},{"key":"2","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1016\/S0022-5347(17)65219-4","article-title":"Recurrent urosepsis in children.","volume":"86","author":"Lich R","year":"1961","journal-title":"J Urol"},{"key":"3","first-page":"432","article-title":"Le traitement chirurgical du reflux vesicoureteral congenital.","volume":"63","author":"Gregoir W","year":"1964","journal-title":"Acta Chir Belg"},{"key":"4","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1159\/000279233","article-title":"Le reflux vesico-ureteral congenital.","volume":"18","author":"Gregoir W","year":"1964","journal-title":"Urol Int"},{"key":"5","doi-asserted-by":"crossref","first-page":"461","DOI":"10.7326\/0003-4819-130-6-199903160-00002","article-title":"A more accurate method to estimate glomerular filtration rate from serum creatinine: A new prediction equation.","volume":"130","author":"Levey AS","year":"1999","journal-title":"Ann Int Med"},{"key":"6","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1001\/archsurg.134.9.971","article-title":"Excellent outcome in recipients of dual kidney transplants: A report of the first 50 dual kidney transplants at Stanford University.","volume":"134","author":"Lu A","year":"1999","journal-title":"Archives of Surgery"},{"key":"7","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1097\/01.TP.0000130452.01521.B1","article-title":"Dual-kidney transplantation with organs from expanded criteria donors: A long-term follow-up.","volume":"78","author":"Tan JC","year":"2004","journal-title":"Transplantation"},{"key":"8","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1097\/01.ASN.0000054494.85680.1C","article-title":"Dual kidneys from marginal adult donors as a source for cadaveric renal transplantation in the United States.","volume":"14","author":"Bunnapradist S","year":"2003","journal-title":"J Am Soc Nephrol"},{"key":"9","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1097\/01.TP.0000061786.74942.E6","article-title":"Dual-kidney transplants: long-term results.","volume":"75","author":"Alfrey EJ","year":"2003","journal-title":"Transplantation"},{"key":"10","first-page":"790","article-title":"Cadarveric \"two in one\" kidney transplantation from marginal donors: experience of 26 cases after 3 years.","volume":"70","author":"Dietl K","year":"2000","journal-title":"Transplantation"},{"key":"11","first-page":"602","article-title":"Double renal transplant. 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