RT Journal
A1 Faro RS, Corry RJ
T1 MAnagement of surgical gastrointestinal complications in renal transplant recipients
JF Archives of Surgery
JO Archives of Surgery
YR 1979
FD March 1
VO 114
IS 3
SP 310
OP 312
DO 10.1001/archsurg.1979.01370270080015
UL http://dx.doi.org/10.1001/archsurg.1979.01370270080015
AB • Gastrointestinal (GI) complications developed in 19 (7.2%) of 265 patients after renal transplantation, and 3 (16%) patients died. Complications included colon perforations, colonic bleeding, small-bowel infarction, pancreatitis, subphrenic abscess, and upper GI tract bleeding. Ulcers located in the second portion of the duodenum developed in six patients; four of them required operation for massive hemorrhage, which occurred during or immediately after the administration of high-dose methylprednisolone for rejection. However, the association of methylprednisolone and colon perforation was not clear from this report. Early diagnosis and prompt operation for surgical-type GI complications in transplant recipients contribute to a low mortality.(Arch Surg 114:310-312, 1979)