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  Citation statistics : Table of Contents
   2017| January-March  | Volume 11 | Issue 1  
    Online since November 29, 2017

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A study of organizing organ transplant across states in India
Rachna Dubey, Sanjay Dixit, Sanjay Dubey
January-March 2017, 11(1):7-12
Organ donation is the gift of an organ to a person with end stage organ disease and who needs transplant for therapeutic purpose. In central India particularly in the state of Madhya Pradesh, there was no concrete & streamlined mechanism operational, pertaining to organ donation after Brain Stem Death. A society called Indore Society for Organ Donation (ISOD) was established exclusively for the cause of popularizing and facilitating organ tissue & body donation in Indore division of Madhya Pradesh. In a span of almost 2 years ISOD has achieved many milestones. It has successfully coordinated and created inter-state Green Corridors involving different states besides multiple Green Corridors within city and outside it. With the first Organ Donation Indore become the first city of central India to be able to execute such a case, second case was first in M.P. for simultaneously creating two Green Corridors to transport organs harvested froma brain dead patient. In Case 3 it is first time in the country that two crucial organs like liver and heart were flown to two different states simultaneously & four corridors were created first time in central India. The case 4 was a first case in central India when 12 years of boy donated his organs & also a first case of central India when Green Corridor was created at night for transportation of organs. With the fifth Organ Donation, Indore has become the second city in the country barring the Southern states with the maximum number of organ donation. In The sixth case, this was first time in central India when three Green corridors were created for transferring Heart, Liver and Kidney and three different organs like Heart, Liver and Kidney donated to three different States Maharashtra (Mumbai), Delhi and Madhya Pradesh. In Case 7 Indore has become a First City in Central Zone with this seventh such successful operation during the past six months which saved more than four lives. In this case donor belonged to a tribal community this shows that now even the tribal areas of Indore Division are showing the light. With the Case 8 globally Indore got an identity as a first city in which three Green corridors were created in a week.
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Renal allograft dysfunction secondary to recurrent perigraft lymphatic collection managed with percutaneous sclerotherapy with povidone iodine
Hira Lal, Bharat Gupta, Asmita , Priyank Yadav, Kavita Vishwakarma, Anupma Kaul, RK Sharma
January-March 2017, 11(1):22-24
Lymphatic leak and lymphocele are well-known complications after renal transplantation, occurring among one-fourth of the recipients. We present a case of 42 year old male who underwent renal transplantation and developed recurrent perigraft collection causing hydronephrosis and rise in serum creatinine. Biochemical analysis of the fluid confirmed lymphocele. Successful treatment was done by ultrasound guided percutaneous catheter placement and instillation of 0.5% povidone iodine for 15 days. Percutaneous drainage catheter placement and sclerotherapy with 0.5% povidone-iodine is safe and effective for treatment lymphoceles and lymphatic leaks in renal allograft recipient.
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Clinical outcome of type 2 diabetic patients after kidney transplantation: Systematic review
Veena Joshi, Sishir Gang
January-March 2017, 11(1):1-6
Aim: To conduct a systematic review to summarize the outcome of adult patients with history of type II DM after renal transplantation [RTx] in following category of patients: (1) type 2 DM; (2) type 2 DM vs Non-DM; (3) type 2 DM vs Dialysis; (4) Preemptive Kidney Transplant (prekTx) vs non prekTx. Method: MEDLINE, EMBASE, Renal transplant registries were searched for observational/cohort/casecontrol studies from 1980 to 2015. Results: We identified 10 studies reporting outcome of kidney transplantation in patients with type 2 DM[type 2 DM(2), type2 DM vs Non-DM (6), type 2 DMvs Dialysis (1), prekTx vs non-prekTx (1)]. One and five year graft survival ranged from 76% to 100% and 53% to 96% respectively. 8, 4, 8, and 2 studies showed 1, 3, 5 and 10 yr patient survival respectively. Recent study with type 2 DM patients showed at 10 yrs, graft survival did not differ between Non-DM and type 2 DM but Non-DM patient survival was better (p < .001) than type 2 DM patients after RTx. At 5 yrs, patient survival ranged from 29% to 97%. Graft and patient survival did not differ between type 2 DM and Non-DM patients in three and two studies respectively. A study showed at 10 yrs, survival after RTx was significantly (p < .001) better than patients on dialysis. Preemptive transplant study reported lower adjusted graft failure and mortality risk for type 2 DM transplant recipients from living donors compared to deceased donors. Conclusion: Results from these few single center studies demonstrate the need for multicenter rigorous studies to look at long term survival of type 2 diabetes patients after renal transplant.
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Imaging features of pulmonary infection in post renal transplant recipients: A review
Hira Lal, Asmita , Loveleen Mangla, Raghunandan Prasad, Medhavi Gautam, Alok Nath
January-March 2017, 11(1):13-21
The renal transplant recipients are prone to the variety of infectious pathogens. The HRCT features could provide valuable information for differentiation diagnosis and treatment response. Findings in renal transplant recipients with manifestations of immune-compromised-related pulmonary diseases could be either pathogen-specific or -non-specific. It is particularly fundamental to recognize these imaging characteristics at suspicion of opportunistic infections in such patients. In this article, we present a review to refresh and update our knowledge of HRCT features of pulmonary infectious diseases in immune-compromised patients.
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