Perioperative management of kidney transplantation in patients with end-stage renal disease due to diabetes
10.12464/j.issn.1674-7445.2025111
- VernacularTitle:糖尿病终末期肾病患者肾移植的围手术期管理
- Author:
Shanheng CAI
1
;
Yun MIAO
2
;
Yuqi ZHONG
2
Author Information
1. The First Clinical Medical College of Southern Medical University, Guangzhou 510515, China.
2. .
- Publication Type:ReviewArticle
- Keywords:
Diabetes;
End-stage renal disease;
Kidney transplantation;
Perioperative period;
Hemodynamics;
Renin-angiotensin-aldosterone system;
Delayed graft function;
Continuous glucose monitoring
- From:
Organ Transplantation
2025;16(4):632-639
- CountryChina
- Language:Chinese
-
Abstract:
Diabetic nephropathy is one of the important causes of end-stage renal disease, and kidney transplantation is the best treatment option for patients with end-stage renal disease due to diabetes (DN-ESRD). However, patients with DN-ESRD have multiple complex factors that affect glucose homeostasis. Long-term hyperglycemia leads to disordered internal environment and extensive involvement of systemic organs, increasing the risks during the perioperative period of kidney transplantation. This article reviews the perioperative management strategies for kidney transplantation in patients with DN-ESRD, discusses the perioperative risk factors, preoperative evaluation and management, intraoperative volume and internal environment management and early postoperative management, and elaborates on the latest progress in this field.
