Case report of swap kidney transplantation in Chhattisgarh – Challenges and solution

Prawash Kumar Chowdhary; Sanjeev Anant Kale; Ajay Parashar; Vivek Kute; Ashish Sharma; Sandeep Agrawal; Sudha Trivedi; Shruti Khatkhedkar

doi:10.4103/ijot.ijot_74_20

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CASE REPORT

Year : 2020 \| Volume : 14 \| Issue : 4 \| Page : 338-342

Case report of swap kidney transplantation in Chhattisgarh – Challenges and solution Prawash Kumar Chowdhary¹, Sanjeev Anant Kale¹, Ajay Parashar², Vivek Kute³, Ashish Sharma⁴, Sandeep Agrawal⁵, Sudha Trivedi⁶, Shruti Khatkhedkar⁶ ¹ Department of Nephrology, Ramkrishna Care Hospital, Raipur, Chhattisgarh, India ² Department of Urology, Ramkrishna Care Hospital, Raipur, Chhattisgarh, India ³ Department of Nephrology and Transplantation, IKDRC, Dr. H L Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Ahmedabad, Gujarat, India ⁴ Department of Urology, Lotus Hospital and Advance Urology Center, Raipur, Chhattisgarh, India ⁵ Department of Urology, DKS Super Speciality Hospital, Raipur, Chhattisgarh, India ⁶ Department of Anesthesia, Ramkrishna Care Hospital, Raipur, Chhattisgarh, India Correspondence Address: Dr. Prawash Kumar Chowdhary Department of Nephrology, Ramkrishna Care Hospital, Raipur - 492 001, Chhattisgarh India Source of Support: None, Conflict of Interest: None DOI: 10.4103/ijot.ijot_74_20

Kidney Transplantation is the best as well as the most cost-effective mode of renal replacement therapy for end end-stage renal disease patients with better survival and quality of life compared to dialysis. In the absence of a deceased donor programme in Chhattisgarh, Kidney paired donation (KPD) may provide an important strategy for easing the crisis in organ availability. In KPD, the incompatibility problems with two donor– recipient pairs can be solved by exchanging donors. We report our first successful KPD transplantation done by our institute in Chhattisgarh. Out of two, one had acute graft dysfunction which gets recovered after stopping tacrolimus and converting to sirolimus. Both the donors had a smooth hospital course and were discharged on the 5^th postoperative day. They are in follow- up with us with good graft function (serum creatinine 1.2 mg/dl and 0.8 mg/dl). In the era of organ shortage, KPD provides hope to the growing number of patients suffering from end-stage renal disease in Chhattisgarh which will promote renal transplantation in our state.



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