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French researchers
report that the survival rate for patients who need a combined
liver and kidney transplant, performed to treat chronic multiple
organ failure, is not dramatically different from that of patients
simply having a kidney transplant.
The researchers,
in a study of 45 patients who underwent a combined liver and kidney
transplant from the same donor, said the median survival rate
for the patients was 82 percent at the end of three years.
This compares
to an 88 percent survival rate for patients in the U.S. at the
end of three years who have received a kidney transplant from
a cadaver donor.
The researchers
reported in the American Journal of Transplantation that only
two of the 45 patients (4.2 percent) who received the two organs
developed acute rejection of the kidney graft, compared to almost
one-third of 86 matched patients who underwent kidney transplantation
alone.
They said
that while seven of the 45 patients died within the first three
months following their transplant, the main cause of death was
severe infectious complications.
"In conclusion,
the overall survival rate following combined liver kidney transplantation
is acceptable, and liver kidney transplantation can be proposed
to patients with kidney failure associated with liver dysfunction,
primary oxaluria or amyloid neuropathy," the researchers
concluded.
Other
Sources:
American Journal of Transplantation
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