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Contemporary Kidney Transplantation pp 1–16Cite as

Renal Transplantation with Other Organs

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Part of the book series: Organ and Tissue Transplantation ((OTT))

Abstract

Simultaneous kidney transplantation is sometimes pursued with other organs due to severe dual organ dysfunction or end stage failure. The most common dual organs transplanted together are kidney and pancreas. Patients in need of life saving organs such as liver, heart, or lung may also have chronic kidney disease and may be eligible for dual transplantation. There are advantages to multi-organ transplantation since there is immunologic exposure to only a single donor, avoidance of multiple surgeries, and the need to wait for a second organ is circumvented. However, the lack of standardized allocation criteria leads to variability in practices across United States. This chapter covers kidney transplantation simultaneously with other organs such as pancreas, liver, heart, and lung. It also covers the current policies and existing criteria pertaining to synchronous kidney pancreas and liver kidney transplantation. It also discusses absence of standardized criteria with combined kidney heart and kidney lung transplantation. Finally, it provides some insight into ethics of dual transplantation and how it may sometimes undermine the principles of equity and utility.

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Authors and Affiliations

  1. Division of Nephrology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA

    Pooja Singh & Jerry McCauley

Authors
  1. Pooja Singh
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  2. Jerry McCauley
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Correspondence to Pooja Singh .

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Editors and Affiliations

  1. Sidney Kimmel Medical College, Thomas Jefferson University Hospital Transplant Surgery, Philadelphia, Pennsylvania, USA

    Carlo Gerardo B. Ramirez

  2. Department of Medicine, Thomas Jefferson University Hospital Division of Nephrology, Philadelphia, Pennsylvania, USA

    Jerry McCauley

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Singh, P., McCauley, J. (2018). Renal Transplantation with Other Organs. In: Ramirez, C., McCauley, J. (eds) Contemporary Kidney Transplantation. Organ and Tissue Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-319-14779-6_8-1

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  • DOI: https://doi.org/10.1007/978-3-319-14779-6_8-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-14779-6

  • Online ISBN: 978-3-319-14779-6

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