Amira C O, Bello B T
Nephrology Unit, Department of Medicine, College of Medicine, University of Lagos, Idi-Araba, Lagos, Nigeria.
Int J Organ Transplant Med. 2017;8(3):132-139. Epub 2017 Aug 1.
Transplant tourism (TT) is the term used to describe travel outside one's country of abode for the sole purpose of obtaining organ transplantation services.
This study describes the characteristics and outcomes of kidney transplant tourists who were followed up in our institution.
A retrospective study was conducted on patients who underwent kidney transplantation outside the country and were followed up in our institution from 2007 to 2015.
26 patients were followed up; 19 (73%) were males. The mean±SD age of patients was 40.5±10.3 years. The majority (n=20) of the transplantations were carried out in India. Living-unrelated transplants were most common (54%). Complications encountered were infections in 11 (42%) patients, new-onset diabetes after transplantation in 9 (35%), chronic allograft nephropathy in 8 (31%), biopsy-proven acute rejections in 3 (12%), and primary non-function in 2 (8%). 1-year graft survival was 81% and 1-year patient survival was 85%.
Kidney transplant tourism is still common among Nigerian patients with end-stage renal disease. Short-term graft and patient survival rates were poorer than values recommended for living kidney transplants. We therefore advise that TT should be discouraged in Nigeria, given the availability of transplantation services in the country, and also in line with international efforts to curb the practice.
移植旅游（TT）是用于描述为获取器官移植服务而前往居住国境外旅行的术语。
本研究描述了在我们机构接受随访的肾移植游客的特征和结局。
对2007年至2015年在国外接受肾移植并在我们机构接受随访的患者进行了一项回顾性研究。
对26例患者进行了随访；19例（73%）为男性。患者的平均年龄±标准差为40.5±10.3岁。大多数移植（n = 20）在印度进行。活体非亲属移植最为常见（54%）。遇到的并发症包括11例（42%）患者发生感染，9例（35%）患者移植后新发糖尿病，8例（31%）患者发生慢性移植肾肾病，3例（12%）患者经活检证实发生急性排斥反应，2例（8%）患者发生原发性无功能。1年移植肾存活率为81%，1年患者存活率为85%。
肾移植旅游在尼日利亚终末期肾病患者中仍然很常见。短期移植肾和患者存活率低于活体肾移植推荐值。因此，鉴于尼日利亚有移植服务，并且也符合国际上遏制这种做法的努力，我们建议在尼日利亚应劝阻移植旅游。
