He developed an ileus requiring a return to IV cyclosporine. We switched him to minoxidil and his ileus promptly resolved, and he is now doing well on oral fluids and diet. Could high doses of nifedipine during the immediate posttransplant period have caused prolonged ileus?
The patient is a 55-year-old man with a renal allograft of 5 years' duration (live, unrelated donor) who presented with significant gastrointestinal bleeding and was subsequently found to have adenocarcinoma of the transverse colon (Dukes B2). He is on triple immunosuppressant (cyclosporine ...
Despite great strides in short-term preservation of renal allografts following the introduction of calcineurin inhibitors, extending graft survival beyond 5 years has proven difficult. Learn why.
An immunosuppressive regimen of alemtuzumab preconditioning with tacrolimus monotherapy and subsequent spaced weaning may be effective in pediatric renal transplant recipients.
Multi-organ transplantation offers substantial benefits, including avoiding serial surgeries. However, multi-organ transplant candidates in the US commonly receive priority for their nonprimary organ over many who need that organ, which may undermine equity.
In this video blog Ron Shapiro, MD discusses the cost-effectiveness of lifelong Medicare coverage of immunosuppressive medications for economically disparate renal transplant recipients.
Several equations to estimate GFR were verified in the MDRD study cohort, but little is known about the application of these formulas in the setting of renal transplantation.
The patient received 6 weeks of ganciclovir 450 mg bid. The symptoms resolved, but the viral load is now 4000. Liver function is normal. What should I do now -- continue ganciclovir (intravenous or oral), discontinue ganciclovir and monitor viral load, try intravenous immunoglobulin (IVIG)?