Externalized Percutaneous Stent Versus Internal Double J Stent: Short- and Long-term Complications After Kidney Transplantation.

Jakob, Manuel; Strupler, N; Candinas, Daniel; Huynh-Do, Uyen; Beldi, Guido (2018). Externalized Percutaneous Stent Versus Internal Double J Stent: Short- and Long-term Complications After Kidney Transplantation. Transplantation proceedings, 50(10), pp. 3416-3421. Elsevier 10.1016/j.transproceed.2018.04.042

[img] Text
1-s2.0-S0041134518306122-main.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.
Download (354kB)

BACKGROUND

In patients undergoing kidney transplantation, ureteral stents are an established technique to reduce major urologic complications such as leakage and stenosis of the ureter. However, the best technique for ureteral stenting remains unclear. The aim of this study was to compare the outcome of percutaneous ureteral stents (PS) with internal double J stents (JJS) after kidney transplantation.

METHODS

All patients undergoing kidney transplantation between 2005 and 2014 were retrospectively analyzed. After excluding patients <18 years old, patients without stenting, and patients who underwent multiorgan transplantation, a total of 308 patients were included in the study. Two consecutive cohorts of patients were compared. In the cohort transplanted between 2005 and 2010, stenting was routinely performed using PS (216 patients), and in the second cohort, those transplanted after 2011, stenting was routinely performed using JJS (92 patients). For ureteric anastomosis, the Lich-Grégoir technique was used in all patients.

RESULTS

There was no statistical difference in postoperative urinary tract infections (P = .239) between the 2 cohorts. In patients with PS, the incidence of major urologic complications (11.6% vs 3.3%; P = .018), vesicoureteral reflux (14.3% vs 2.2%; P < .001), and urologic reinterventions (14.4% vs 5.4%; P = .031) was significantly higher when compared with JJS patients. Multivariable logistic regression revealed increased incidence of major urologic complications (odds ratio [OR] 3.66, 95% confidence interval [CI] 1.07-12.55, P = .039) and vesicoureteral reflux (OR 5.29, 95% CI 1.21-23.10, P = .027) in patients with PS compared with JJS.

CONCLUSION

Stenting of ureterovesical anastomosis using JJS is associated with reduced complications compared with PS after kidney transplantation.

Item Type:

 Journal Article (Original Article)

Division/Institute:

 04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Viszeralchirurgie
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Viszeralchirurgie
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > Unit Childrens Hospital > Forschungsgruppe Nephrologie / Hypertonie
04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Nephrology and Hypertension
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine

UniBE Contributor:

 Jakob, Manuel, Candinas, Daniel, Huynh-Do, Uyen, Beldi, Guido Jakob Friedrich

Subjects:

 600 Technology > 610 Medicine & health

ISSN:

 0041-1345

Publisher:

 Elsevier

Language:

 English

Submitter:

 Lilian Karin Smith-Wirth

Date Deposited:

 10 Apr 2019 15:28

Last Modified:

 05 Dec 2022 15:25

Publisher DOI:

 10.1016/j.transproceed.2018.04.042

PubMed ID:

 30577215

BORIS DOI:

 10.7892/boris.125762

URI:

 https://boris.unibe.ch/id/eprint/125762

Actions (login required)

Edit item Edit item
Provide Feedback