Trasplante renopancreático y embarazo: resultados perinatales
Resumen Desde la publicación del primer caso de una gestación a término conseguida en trasplante simultáneo renopancreático, todos los esfuerzos han sido dirigidos a conocer y prevenir 2 riesgos que conlleva esta situación para la madre, el feto y el injerto. Esto supone un reto multidisciplinar enc...
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| Published in: | Progresos de obstetricia y ginecología Vol. 56; no. 4; pp. 207 - 209 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | Spanish |
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Elsevier España
01-04-2013
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| Abstract | Resumen Desde la publicación del primer caso de una gestación a término conseguida en trasplante simultáneo renopancreático, todos los esfuerzos han sido dirigidos a conocer y prevenir 2 riesgos que conlleva esta situación para la madre, el feto y el injerto. Esto supone un reto multidisciplinar encaminado a elaborar unas guías internacionales para el seguimiento en estas gestaciones de alto riesgo. Presentamos 2 casos de gestantes, con trasplante simultáneo reno-pancreático previo, que evolucionaron favorablemente y culminaron con el nacimiento de 2 niños sanos. La gestación no afectó a la funcionalidad de los injertos, ni a corto ni a largo plazo. |
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| AbstractList | Desde la publicación del primer caso de una gestación a término conseguida en trasplante simultáneo renopancreático, todos los esfuerzos han sido dirigidos a conocer y prevenir 2 riesgos que conlleva esta situación para la madre, el feto y el injerto. Esto supone un reto multidisciplinar encaminado a elaborar unas guías internacionales para el seguimiento en estas gestaciones de alto riesgo. Presentamos 2 casos de gestantes, con trasplante simultáneo reno-pancreático previo, que evolucionaron favorablemente y culminaron con el nacimiento de 2 niños sanos. La gestación no afectó a la funcionalidad de los injertos, ni a corto ni a largo plazo.
Since the publication of the first case of a term pregnancy achieved in simultaneous kidney-pancreas transplantation, efforts have been directed to understanding the impact, risks and benefits on the mother, fetus, and the graft. The development of multidisciplinary international guidelines for the monitoring of these high-risk pregnancies is a challenge. We report two cases of pregnant women with simultaneous kidney-pancreas transplants, which progressed favorably and culminated with the birth of two healthy newborns. Pregnancy did not affect the functionality of the grafts in the short or long term. Resumen Desde la publicación del primer caso de una gestación a término conseguida en trasplante simultáneo renopancreático, todos los esfuerzos han sido dirigidos a conocer y prevenir 2 riesgos que conlleva esta situación para la madre, el feto y el injerto. Esto supone un reto multidisciplinar encaminado a elaborar unas guías internacionales para el seguimiento en estas gestaciones de alto riesgo. Presentamos 2 casos de gestantes, con trasplante simultáneo reno-pancreático previo, que evolucionaron favorablemente y culminaron con el nacimiento de 2 niños sanos. La gestación no afectó a la funcionalidad de los injertos, ni a corto ni a largo plazo. |
| Author | Martín Mederos, José Ignacio Padilla Pérez, Ana Isabel Padrón Pérez, Erika García Rodriguez, Sonia Orribo Morales, Olivia Hernández Suárez, Mercedes |
| Author_xml | – sequence: 1 fullname: Orribo Morales, Olivia – sequence: 2 fullname: García Rodriguez, Sonia – sequence: 3 fullname: Hernández Suárez, Mercedes – sequence: 4 fullname: Padrón Pérez, Erika – sequence: 5 fullname: Martín Mederos, José Ignacio – sequence: 6 fullname: Padilla Pérez, Ana Isabel |
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| Cites_doi | 10.1111/j.1600-6143.2005.00969.x 10.1097/01.tp.0000263357.44975.d0 10.1258/om.2009.090028 10.1016/S0041-1345(02)02612-X 10.1093/ndt/17.5.703 10.1097/00007890-200010270-00009 10.1056/NEJMra050431 |
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| DocumentTitleAlternate | Simultaneous kidney-pancreas transplantation and pregnancy: Perinatal results |
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| Keywords | Pregnancy Inmunosupresores Trasplante renopancreático Embarazo Diabetes mellitus Renal failure Kidney-pancreas transplantation Immunosuppressive therapy Insuficiencia renal |
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| References | Sibanda, Briggs, Davison, Johnson, Rudge (bib0075) 2007; 83 Mack-Shipman, Ratanasuwan, Leone, Miller, Lyden, Erickson (bib0010) 2000; 70 Coscia, Constantinescu, Mortiz, Frank, Ramírez, Maley (bib0015) 2010 Bramhan, Liggnstone, Taylor (bib0090) 2010; 3 Diane, McKay, Josephson (bib0080) 2006; 354 Castro, Hillebrand (bib0005) 1980; 18 Zivny, Adamec, Parizek, Hájek, Cindr, Saudek (bib0105) 2005; 70 McKay, Josephson, Armenti, August, Coscia, Davis (bib0020) 2005; 5 Lessan-Pezeshki (bib0065) 2002; 17 BeblaS (bib0100) 2002; 29 Davison, Milne (bib0085) 1997; 80 Miranda, Melaragno, Cama, Pacheco-Silva, Medina-Pestaña (bib0070) 2002; 34 (bib0095) 2002; 17 Coscia (10.1016/j.pog.2012.03.012_bib0015) 2010 Davison (10.1016/j.pog.2012.03.012_bib0085) 1997; 80 Castro (10.1016/j.pog.2012.03.012_bib0005) 1980; 18 Sibanda (10.1016/j.pog.2012.03.012_bib0075) 2007; 83 BeblaS (10.1016/j.pog.2012.03.012_bib0100) 2002; 29 Lessan-Pezeshki (10.1016/j.pog.2012.03.012_bib0065) 2002; 17 Miranda (10.1016/j.pog.2012.03.012_bib0070) 2002; 34 Zivny (10.1016/j.pog.2012.03.012_bib0105) 2005; 70 Bramhan (10.1016/j.pog.2012.03.012_bib0090) 2010; 3 Mack-Shipman (10.1016/j.pog.2012.03.012_bib0010) 2000; 70 Diane (10.1016/j.pog.2012.03.012_bib0080) 2006; 354 McKay (10.1016/j.pog.2012.03.012_bib0020) 2005; 5 (10.1016/j.pog.2012.03.012_bib0095) 2002; 17 |
| References_xml | – volume: 3 start-page: 73 year: 2010 end-page: 77 ident: bib0090 article-title: Pregnancy in pancreas-kidney transplant recipients: report of three cases and review of the literature publication-title: Obstetric Medicine contributor: fullname: Taylor – volume: 18 start-page: 1780 year: 1980 end-page: 1781 ident: bib0005 article-title: Pregnancy in juvenile diabetes mellitus under cyclosporine treatment after combined kidney and pancreas transplantation publication-title: Transplant Proc contributor: fullname: Hillebrand – volume: 29 start-page: 340 year: 2002 end-page: 342 ident: bib0100 article-title: Trasplante renal en una mujer con gestación gemelar complicada con CIR grave publication-title: Clin Invest Gin Obst contributor: fullname: BeblaS – volume: 70 start-page: 1180 year: 2000 end-page: 1183 ident: bib0010 article-title: Reproductive hormones after pancreas transplantation publication-title: Transplantation contributor: fullname: Erickson – start-page: 65 year: 2010 end-page: 85 ident: bib0015 article-title: Report from the National Transplantation Pregnancyk Registry (NTPR): Outcomes of pregnancy after transplantation publication-title: Clin Transpl contributor: fullname: Maley – volume: 80 start-page: 29 year: 1997 end-page: 32 ident: bib0085 article-title: Pregnancy and renal transplantation publication-title: Br J Urol contributor: fullname: Milne – volume: 5 start-page: 1592 year: 2005 end-page: 1599 ident: bib0020 article-title: Reproduction and transplantation: report on the AST Consensus Conference on Reproductive Issues and Transplantation publication-title: AM J Transplant contributor: fullname: Davis – volume: 70 start-page: 362 year: 2005 end-page: 366 ident: bib0105 article-title: Pregnancy and labor after combined pancreas-kidney transplantation in Czech Republic publication-title: Ceska Gynekol contributor: fullname: Saudek – volume: 17 start-page: 703 year: 2002 end-page: 707 ident: bib0065 article-title: Preganancy after renal transplantation: points to consider publication-title: Nephrol Dial Transplant contributor: fullname: Lessan-Pezeshki – volume: 354 start-page: 1281 year: 2006 end-page: 1293 ident: bib0080 article-title: Pregnancy in recipients of solid organs. Effects on mother and child publication-title: N Engl J Med contributor: fullname: Josephson – volume: 34 start-page: 506 year: 2002 end-page: 507 ident: bib0070 article-title: Adverse effects of pregnancy on renal allograft function publication-title: Transplant Proc contributor: fullname: Medina-Pestaña – volume: 17 start-page: 50 year: 2002 end-page: 55 ident: bib0095 article-title: European best practice guide-lines for renal transplantation. Section IV.10. Long Term management of the transplant recipients publication-title: Nephrol Dial Transplant – volume: 83 start-page: 1301 year: 2007 end-page: 1307 ident: bib0075 article-title: Pregnancy after organ transplantation: a report from the UK Transplant Prenancy Registry publication-title: Transplantation contributor: fullname: Rudge – volume: 5 start-page: 1592 year: 2005 ident: 10.1016/j.pog.2012.03.012_bib0020 article-title: Reproduction and transplantation: report on the AST Consensus Conference on Reproductive Issues and Transplantation publication-title: AM J Transplant doi: 10.1111/j.1600-6143.2005.00969.x contributor: fullname: McKay – volume: 29 start-page: 340 year: 2002 ident: 10.1016/j.pog.2012.03.012_bib0100 article-title: Trasplante renal en una mujer con gestación gemelar complicada con CIR grave publication-title: Clin Invest Gin Obst contributor: fullname: BeblaS – volume: 83 start-page: 1301 year: 2007 ident: 10.1016/j.pog.2012.03.012_bib0075 article-title: Pregnancy after organ transplantation: a report from the UK Transplant Prenancy Registry publication-title: Transplantation doi: 10.1097/01.tp.0000263357.44975.d0 contributor: fullname: Sibanda – volume: 3 start-page: 73 year: 2010 ident: 10.1016/j.pog.2012.03.012_bib0090 article-title: Pregnancy in pancreas-kidney transplant recipients: report of three cases and review of the literature publication-title: Obstetric Medicine doi: 10.1258/om.2009.090028 contributor: fullname: Bramhan – volume: 34 start-page: 506 year: 2002 ident: 10.1016/j.pog.2012.03.012_bib0070 article-title: Adverse effects of pregnancy on renal allograft function publication-title: Transplant Proc doi: 10.1016/S0041-1345(02)02612-X contributor: fullname: Miranda – volume: 17 start-page: 703 year: 2002 ident: 10.1016/j.pog.2012.03.012_bib0065 article-title: Preganancy after renal transplantation: points to consider publication-title: Nephrol Dial Transplant doi: 10.1093/ndt/17.5.703 contributor: fullname: Lessan-Pezeshki – volume: 17 start-page: 50 issue: Suppl. 4 year: 2002 ident: 10.1016/j.pog.2012.03.012_bib0095 article-title: European best practice guide-lines for renal transplantation. Section IV.10. Long Term management of the transplant recipients publication-title: Nephrol Dial Transplant – start-page: 65 year: 2010 ident: 10.1016/j.pog.2012.03.012_bib0015 article-title: Report from the National Transplantation Pregnancyk Registry (NTPR): Outcomes of pregnancy after transplantation publication-title: Clin Transpl contributor: fullname: Coscia – volume: 70 start-page: 362 year: 2005 ident: 10.1016/j.pog.2012.03.012_bib0105 article-title: Pregnancy and labor after combined pancreas-kidney transplantation in Czech Republic publication-title: Ceska Gynekol contributor: fullname: Zivny – volume: 18 start-page: 1780 year: 1980 ident: 10.1016/j.pog.2012.03.012_bib0005 article-title: Pregnancy in juvenile diabetes mellitus under cyclosporine treatment after combined kidney and pancreas transplantation publication-title: Transplant Proc contributor: fullname: Castro – volume: 70 start-page: 1180 year: 2000 ident: 10.1016/j.pog.2012.03.012_bib0010 article-title: Reproductive hormones after pancreas transplantation publication-title: Transplantation doi: 10.1097/00007890-200010270-00009 contributor: fullname: Mack-Shipman – volume: 354 start-page: 1281 year: 2006 ident: 10.1016/j.pog.2012.03.012_bib0080 article-title: Pregnancy in recipients of solid organs. Effects on mother and child publication-title: N Engl J Med doi: 10.1056/NEJMra050431 contributor: fullname: Diane – volume: 80 start-page: 29 issue: Suppl. year: 1997 ident: 10.1016/j.pog.2012.03.012_bib0085 article-title: Pregnancy and renal transplantation publication-title: Br J Urol contributor: fullname: Davison |
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| SubjectTerms | Diabetes mellitus Embarazo Immunosuppressive therapy Inmunosupresores Insuficiencia renal Kidney-pancreas transplantation Obstetrics and Gynecology Pregnancy Renal failure Trasplante renopancreático |
| Title | Trasplante renopancreático y embarazo: resultados perinatales |
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