[Which transplantation strategies in primary hyperoxaluria type 1?].
The following main conclusions concerning the transplantation strategies to be adopted in primary hyperoxaluria type 1 (PH1) were drawn from the data collected from 22 patients who received combined liver-kidney grafts and 2 patients who received isolated liver grafts in Europe from June 1984 to March 1990. In end-stage renal failure due to PH1 liver-kidney transplantation yields better results than conventional renal transplantation. An isolated liver graft should be planned in patients with GFR between 25 and 60 ml/min/1.73 m2 whereas a combined liver-kidney graft is to be recommended as soon as the GFR falls below 25 ml/min/1.73 m2. Such patients should not be maintained on dialysis for more than a few months since they would unavoidably develop oxalosis with the risk of disabling lesions in the skeleton and cardiovascular system. Besides, oxalosis would be regularly followed by long-standing hyperoxaluria, with the risk of damage to the kidney graft, despite the correction of the enzyme deficit brought up by the liver graft.
Cliniques Universitaires de Bruxelles, Hôpital Erasme, Belgique.
L
L
De Pauw
R W
RW
Watts
C J
CJ
Danpure
C
C
Toussaint
D005919:Glomerular Filtration Rate; D006801:Humans; D006959:Hyperoxaluria / Q000503:physiopathology / Q000601:surgery*; D016030:Kidney Transplantation; D016031:Liver Transplantation
Quelles stratégies de transplantation dans l'hyperoxalurie primitive de type 1?