Fernández ÁDF, Portilla FVH, Beltrán RPI, Contreras JE, Bazán BA, Rodríguez BA, Balcazar VR

Language: Spanish
References: 10
Page: 69-74
PDF size: 91.23 Kb.

ABSTRACT

Introduction. The biopsy of the kidney allograft is fundamental in the diagnosis of the complications kidney transplantation, valuing the damage tissue, interpretation should associate with the clinic and the laboratory and don’t interpreted as an isolated exam. The percutaneous biopsy has smaller surgical trauma and to stay less in hospital and the time of recovery. Objetive. It was to determine if the taken sample was adequate for the study histopathology and immunohistochemestry, and to compare the initial experience of the Hospital Juárez de México with the world medic literature. Material and methods. Includes all the patients who are carried out biopsy guided by Ultrasound, from January to December of 006. Results. Were carried out biopsy percutaneous to 7 patients. It was 1 rejection (14%), 1 extracapillary recidivating glomerulopatology (14%), 1 Tubular Necrosis (14%), 1 intoxication for Cyclosporine (14%), 1 reflux urinal (14%), 2 chronic hipoperfusions (29%). The morbidity was in a case for haematoma of the allograft corresponding to 14% and mortality didn’t have. In all the cases the biopsy was adequate. The biopsy of the allograft is the election technique in the differential diagnosis among acute tubular, rejection, nefrotoxicity, glomerulonephritis and complications.

REFERENCES

1. Danovich. Trasplante renal. Editorial Marban.

2. Santiago E. Trasplante de órganos. JFH Editorial.

3. Avendaño LH. Nefrología. Editorial Panamericana.

4. Vázquez M. Patología del trasplante renal. Principales cuadros histopatológicos. II Congreso virtual hispanoamericano de anatomía patológica.

5. Arias M, Campistol JM, Morales JM. Manual de trasplante renal. Sociedad Española de Nefrología.

6. Solez K, Axelson RA, Benedickson H, et al. International standardization of criteria for the histologic diagnosis of renal allograft rejection. The Banff working classification of kidney transplant patology. Kidney Int. 1993; 44: 411-42.

7. Racusen LC, Solez K, Colvin RB, Salinas ML, et al. The Banff 97 working classification of renal allograft patology. Kidney Int. 1999; 55: 713-23.

8. Colvin RB, Cohen AH, Santoiz C, et al. Evaluation of pathologic criteria for acute renal allograft rejection: Reproducibility, senility and clinical correlation. J Am Soc Nephrology 1997; 8: 1930-41.

9. Racusen LC, Solez K, Colvin RB, et al. Antibody mediated rejection criteria – an addition to the Banff 97 classification of renal allograft rejection. AM J Transplant 2003; 3: 708-14.

10. Morales CJM, Marcén LR, Valdéz CF. Curso de actualización de trasplante renal. Sociedad Española de Nefrología.