Risk factors of paralyticileus after simultaneous pancreas-kidney transplantation
10.3760/cma.j.cn421203-20210128-00043
- VernacularTitle:胰肾联合移植术后麻痹性肠梗阻相关危险因素分析
- Author:
Jinpeng TU
1
;
Yingxin FU
;
Xiaofeng SHI
;
Guanghui PEI
;
Gang FENG
;
Jie ZHAO
;
Zhen WANG
;
Hui WANG
;
Chunbai MO
Author Information
1. 天津市第一中心医院肾移植科 300192
- Keywords:
Simultaneous pancreas-kidney transplantation;
Paralytic ileus;
Risk factors
- From:
Chinese Journal of Organ Transplantation
2021;42(7):404-407
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the risk factors of paralytic ileus (PI) after simultaneous pancreas-kidney (SPK) transplantation.Methods:From January 2017 to December 2019, clinical data were reviewed retrospectively for 115 cases of SPK transplantation. The risk factors of PI after SPK were analyzed. According to the occurrence of PI, they were divided into two groups of occurrence and non-occurrence. One-way analysis of variance was utilized for analyzing such influencing factors as gender, age, body mass index (BMI), diabetic type, duration of diabetes, mode of dialysis, duration of dialysis, diabetic gastroenterology, history of open surgery, bowel preparation, operative duration, hemorrhagic volume, immunosuppressant and hypoproteinemia. Multivariate Logistic regression analysis was performed for screening the suspected risk factors.Results:Among them, 19 patients (16.5%) had PI. Univariate analysis showed that PI was associated with diabetic gastroenterology, operative duration, history of open surgery, no bowel preparation and hypoproteinemia ( P<0.05). Multivariate Logistic regression analysis revealed that the risk factors of PI after SPK included diabetic gastroenterology, operative duration time, history of open surgery and no bowel preparation ( P<0.05). Conclusions:Diabetic gastroenterology, operative duration, history of open surgery and no bowel preparation are risk factors for PI after SPK. Clinical interventions for the above factors are necessary.
