Faro R S, Corry R J
Arch Surg. 1979 Mar;114(3):310-2. doi: 10.1001/archsurg.1979.01370270080015.
Gastrointestinal (GI) complications developed in 19 (7.2%) of 265 patients after renal transplantation, and 3 (16%) patients died. Complications included colon perforations, colonic bleeding, small-bowel infarction, pancreatitis, subphrenic abscess, and upper GI tract bleeding. Ulcers located in the second portion of the duodenum developed in six patients; four of them required operation for massive hemorrhage, which occurred during or immediately after the administration of high-dose methylprednisolone for rejection. However, the association of methylprednisolone and colon perforation was not clear from this report. Early diagnosis and prompt operation for surgical-type GI complications in transplant recipients contribute to a low mortality.
265例肾移植患者中有19例（7.2%）出现胃肠道（GI）并发症，3例（16%）患者死亡。并发症包括结肠穿孔、结肠出血、小肠梗死、胰腺炎、膈下脓肿和上消化道出血。6例患者十二指肠第二部出现溃疡；其中4例因大剂量甲基强的松龙治疗排斥反应期间或之后立即发生大出血而需要手术。然而，本报告中甲基强的松龙与结肠穿孔的关联尚不清楚。对移植受者的外科型胃肠道并发症进行早期诊断并及时手术有助于降低死亡率。
