Comparison of early postoperative function of liver and renal allografts with radionuclide imaging
Section snippets
Methods
Twenty-two liver and 22 renal allograft recipients were included. All grafts were from living related donors. In all cases, there were at least two serial scintigraphic studies obtained during the early posttransplantation period. In the case of the liver, the first scan was obtained within 1 week after the operation and the second one was within the following 15 days. Forty-seven studies were evaluated. In the case of the kidney, radionuclide imaging was performed on postoperative days 3 and
Renal transplant recipients
In renal transplant recipients, mean serum creatinine levels 7 days after operation were significantly decreased compared with preoperative values, and all recipients were discharged within 10 days postsurgery.
On day 3 posttransplantation, all recipients had a normal time to excretion, and 19 (86%) had normal uptake. Nine (41%) had mild retention of radioactivity at the end of the study. On day 7 posttransplantation, all had normal Tex. Two patients with slightly diminished uptake on day 3 had
Discussion
Transplantation is the treatment of choice for patients with end-stage organ failure. Kidneys and livers are among the most commonly transplanted solid organs. There are many factors that influence postoperative hospital stay and recovery of transplanted organ function early after transplantation. Intraoperative factors that influence postoperative function in these two organ transplantations are similar. Ischemia-reperfusion injury just before or during transplantation is a common problem in
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