Gómez V, Burgos J, Rivera M, Fernández M, Marcen R, Orofino L, del Hoyo J F, Ortuño J, Escudero A
Servicio de Urología, Hospital Ramón y Cajal, Madrid.
Actas Urol Esp. 1994 Apr;18(4):277-80.
Seventy-nine gastrointestinal complications in 480 recipients of a renal transplant (RT) (16%) are described. The most frequent complication was high digestive haemorrhage (HDH) (19/480) (2.9%); other complications were: esophagitis, gastroenteritis, diverticulitis, cholecystitis, intestinal tuberculosis, rectal ulcer and colonic polyps. Mortality secondary to gastrointestinal complications was 1.1%. Sixty-seven percent of cases with peptic ulcer developed HDH, an incidence higher than that observed in the general population (20%). Twenty-one percent of transplanted patients with DH had ulcer background. Cholecystitis and diverticulitis were complications with a low incidence (0.2% and 0.6%, respectively) which do not seem to justify aggressive diagnostic and therapeutic manoeuvres prior to the transplant. Prevalence of intestinal tuberculosis in this series (0.4%) was higher to that described in the literature.
描述了480例肾移植（RT）受者中的79例胃肠道并发症（16%）。最常见的并发症是严重消化道出血（HDH）（19/480）（2.9%）；其他并发症包括：食管炎、胃肠炎、憩室炎、胆囊炎、肠结核、直肠溃疡和结肠息肉。胃肠道并发症导致的死亡率为1.1%。67%的消化性溃疡患者发生了严重消化道出血，这一发病率高于普通人群（20%）。21%发生严重消化道出血的移植患者有溃疡病史。胆囊炎和憩室炎是发病率较低的并发症（分别为0.2%和0.6%），似乎没有理由在移植前进行积极的诊断和治疗操作。本系列中肠结核的患病率（0.4%）高于文献报道。
