2006 - UZ Leuven

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additional stimulants that the innate immunity of the transplantedintestine exert on the adaptive immune response. Under this protocol,freedom from rejection was achieved in four consecutive intestinaltransplant recipients using extremely low immunosuppression.SCHAFER-KELLER P., LYON S., VAN GELDER F., DE GEEST S.: Apractical approach to promoting adherence to immunosuppressivemedication after renal transplantation. Curr. Opin. Nephrol. Hypertens.,2006; 15 (Clinical update): S1-S6.Renal transplant recipients are expected to adhere to a lifelongtherapeutic regimen designed to preserve long-term graft function andto reduce the risk of complications. Adherence to immunosuppressionis a critical component of this regimen, but studies using electronicmonitoring, the most sensitive tool currently available, have foundnon-adherence rates of 20-26% in adult patients, whereas a meanprevalence of 32% has been reported among adolescent renaltransplant recipients. Non-adherence after renal transplantation is animportant clinical problem because even comparatively low rates ofnon-adherence are associated with increased risks of acute rejection,graft loss, reduced quality of life, and mortality. All members of thetransplant team including hospital-based and communitynephrologists, surgeons, nurses and therapists, should be aware ofthe possibility of non-adherence and be prepared to intervene.Promoting adherence is not straightforward, because risk factors fornon-adherence are multifactorial and individual to each patient. As aresult, intervention is more likely to promote lasting adherence if it islong term and takes place within the context of a chronic-illnessmanagement model that integrates behavioural, psychosocial andmedical aspects of care appropriate to the unique needs of theindividual patient.SMETS S., OYEN R., COOSEMANS W., KUYPERS D.R.J.: An unusualcause of ureteral obstruction in a renal allograft. Nephrol. Dial.Transplant, 2006; 21(12): 3593-3594.We describe a 66-year-old patient, on haemodialysis since 2002because of chronic renal failure due to chronic glomerulonephritis ofuncertain origin (supposedly IgA nephropathy). In March 2006, heunderwent cadaveric donor kidney transplantation. The allograft hadone polar artery, with the anastomosis made on the right internal iliacartery, the main renal artery was anastomosed to the right commoniliac artery. The immunosuppressive regime consisted of steroids,20
tacrolimus and mycophenolate mofetil. The immediate post-operativephase was unremarkable until day 10, when a mild rise in plasmacreatinine concentrations was noted (from 1.65 to 1.74 mg/dl) despitestable urine output. An ultrasound was performed, showing severehydronephrosis of the graft without enlargement of the ureter. Anephrostomy was promptly placed. The plasma creatinine level fellover the next day to its previous value (1.65 mg/dl on day 12). Anantegrade percutaneous pyelography study revealed an importantdilation of the pyelocalyceal system, stenosis of the ureteropelvicjunction (UPJ) and a normal diameter of the ureter.VAN GELDER F., VAN HEES D., DE ROEY J., MONBALIU D., AERTS R.,COOSEMANS W., DAENEN W., PIRENNE J.: Implementation of anintervention plan designed to optimize donor referral in a donorhospital network. Progress in Transplantation, 2006; 16(1): 46-51.Context: The shortage of donor organs remains the most importantfactor of waiting list mortality in organ transplantation worldwide.Donor detection is influenced by the legal system, family refusal, andunderreporting caused by erroneous knowledge of donation criteriaand lack of familiarity with the procedure.Objective: To identify possible key factors of donor referral patternswithin an existing cooperation with donor hospitals and donor unitsacross the Dutch-speaking part of Belgium, an area of approximately3 million inhabitants. An intervention plan to optimize the cooperationand procedure quality and efficiency was designed.Design: The intervention plan was based on 3 essential principles indonor referral by donor reporters, information on donor criteria,facilitation of the donor procedure, and communication between donorreporters and the transplant center. The interventions were structuredto optimize all 3 of these principles. Two successive periods of 4 yearswere retrospectively compared.Participants: Data were collected retrospectively on donor referralbehavior from a total of 37 donor hospitals and donor units over an 8-year period.Main outcome measures: The referrals were reviewed for potentialdonors, effective donors, percentage of effective donors, refusal rateof relatives, number of tissue donors, impact on local and nationaltransplant programs, and national donor numbers.Results: Data showed a significant positive impact on donor referralsand donor referral behavior (+27% potential donors, +30% effectivedonors, +172.7% tissue donors, -7% family refusals rates, +9.63%national donors). The results stress the importance of reducedworkload and optimization of communication and informationavailability in an existing donor hospital network.21
Page 1: CYRURGIE2006
Page 4 and 5: Heelmeesters allerhande, verenig u!
Page 7: INHOUDSOPGAVEAbdominale Heelkunde 1
Page 10 and 11: De resultaten van een grote Noord-A
Page 12 and 13: VEGF (P = 0.008) correlate with a p
Page 14 and 15: severe ulcerative ileitis and jejun
Page 16 and 17: tekens op CT en/of MRI kunnen een b
Page 18 and 19: data we propose a scoring system in
Page 20 and 21: ABDOMINALETRANSPLANTATIECHIRURGIECA
Page 22 and 23: DYCKMANS K., LERUT E., GILLARD P.,
Page 24 and 25: LERUT J., ORLANDO G., ADAM R., SABB
Page 26 and 27: histopathologic diagnostic process.
Page 30 and 31: ARTIKELS UIT HETLEUVENSE NETCREVITS
Page 32 and 33: PRUYT M., DEVRIENDT D., VANNESTE A.
Page 34 and 35: BOSHOFF D., BUDTS W., MERTENS L., E
Page 36 and 37: FLAMENG W., MEURIS B., HERIJGERS P.
Page 38 and 39: prosthetic valve endocarditis who w
Page 40 and 41: in these patients We present a case
Page 42 and 43: SERCA2a. In SKO mice, gene-targeted
Page 44 and 45: MULTIDISCIPLINAIRBORSTCENTRUMMORALE
Page 46 and 47: east implant. Only two other cases
Page 48 and 49: Object: Based on data from primate
Page 50 and 51: SISCOM hyperperfusion cluster and M
Page 52 and 53: ONCOLOGISCHEHEELKUNDEBROUNS F., SCH
Page 54 and 55: infiltrative multilobular spindle c
Page 56 and 57: multivariable Cox model adjusted fo
Page 58 and 59: We retrospectively evaluated a surg
Page 60 and 61: We performed resection arthroplasty
Page 62 and 63: earing posterior-stabilised. To do
Page 64 and 65: age and key pinch strength. The dif
Page 66 and 67: FABRY K., LAMMENS J., DELHEY P., ST
Page 68 and 69: cases. The mean Knee Society’s kn
Page 70 and 71: short-term solution for his fractur
Page 72 and 73: the foot and result in major septic
Page 75 and 76: SAEGEMAN V., LISMONT D., VERDUYCKT
Page 77 and 78: Objective: The objective of this st
Page 79 and 80:
VICTOR J., BELLEMANS J.: Physiologi
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skin construct displays authentic f
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Bewertung des Spenderdefektes ergab
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HIERNER R., BERGER A.: Options and
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vascularized ulnar nerve graft and
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cranial bone and dura which cannot
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defects.Adequate debridement, early
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Patients and Methods: Between 1995
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MASSAGE P., VANDENHOF B., VRANCKX J
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Background: High pressure injuries
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VERMEULEN P., DICKENS S., VRANCKX J
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inhibitors that neutralize the impa
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internship. These components repres
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Objective: To evaluate the expressi
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patients were diagnosed with acute
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Conclusions: This study demonstrate
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progressive accumulation of FVIII a
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his name to this condition through
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gevallen, beschouwen wij de minimaa
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Table 1Reperfusion time(min)PVR(dyn
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transplantation; dehiscence (n = 25
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upon reperfusion results from a red
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VAN DE WAUWER C., VAN RAEMDONCK D.E
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Bronchiolitis obliterans syndrome (
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noodzakelijk een beter inzicht te v
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patients of 70 years and older trea
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of debate. A good pain relief can b
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VAN GESTEL L., NIJS S., BROOS P.: T
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UROLOGIEALBERSEN M., JONIAU S., VAN
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children achieve bladder and bowel
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Results: Ninety-five percent of the
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esistant to degradation, but at 365
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Results: Although the surgery was m
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DE RIDDER D.: Conservatieve aanpak
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pressures were measured. The effect
Page 149 and 150:
GOEMAN L., JONIAU S., OYEN R., VAN
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pelvic lymph node status were not w
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literature on nephron-sparing surge
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on overall survival was studied. Su
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materials, although it was architec
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Material und Methoden: Von 13 Zentr
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a remarkable higher number of forei
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VAN CALSTEREN K., VAN MENSEL K., JO
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VANDE WALLE J.G.J., BOGAERT G.A., M
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Introduction & Objectives: Control
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VAATHEELKUNDEBLADT O., MALEUX G., H
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FOURNEAU I., SABBE T., DAENENS K.,
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computed tomography (CT) and magnet
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We report an unusual case of a uret
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during GPIb stimulation, its activa
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2006 - UZ Leuven

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