Case Report

Short Bowel Syndrome and Kidney Transplantation: Challenges, Outcomes, and the Use of Teduglutide

Table 2

Detailed demographics and outcomes of kidney transplants in patients with SBS.

CaseAgeSexCause of SBSCause of kidney diseaseTransplantImmunosuppressionFollow-up (years)eGFR (ml/min)Complications

1 [16]64MMesenteric thrombosisOxalate nephropathyDDKTPred, Aza0.8355Acute rejection
2 [17]62FIntestinal obstructionOxalate nephropathyDDKTPred, Aza780Cryptococcus neoformans infection
3 [18]74MBowel resection (Crohn’s)Oxalate nephropathyUnknownUnknown336Oxalate deposition
4 [19]27MIleocolic resectionCongenital urologicalDDKTPred, MMF, Rapa1122None
5 [20]40MBowel resection (Crohn’s)Oxalate nephropathyDDKTPred, MMF, Tacro, Rapa214DGF, oxalate deposition
6 [6]18MNecrotizing enterocolitisFocal GSLDKTM-Pred, MMF, CsA522Acute rejection, dehydration, acidosis
7 [14]50FObstruction, EC fistulaeTacrolimus toxicityLDKTPred, MMF, Tacro2.138None
8 [2]38FBowel resection (Crohn’s)NephrolithiasisLDKTUnknown70Oxalate deposition, IFTA
9 [2]44FBowel resection (Crohn’s)Oxalate nephropathyLDKTMMF, Tacro161None
10 [2]49MBowel resection (Crohn’s)Oxalate nephropathyDDKTUnknown371None
11 [2]47FBowel resection (Crohn’s)NephrolithiasisDDKTUnknown219Oxalate deposition, GS, tubular atrophy
12 [5]66MBowel resection (Crohn’s)Oxalate nephropathyLDKTPred, MMF, Tacro2.638Sepsis at 2 months
13 [5]63MBowel resection (Crohn’s)NephrolithiasisLDKTPred, MMF, Tacro2.5836Chronic antibody-mediated rejection
14 [5]63MBowel resection (Crohn’s)Oxalate nephropathyDDKTPred, MMF, Tacro2.2531Recurrent urinary tract infections
15 [5]60FBowel resection (Crohn’s)NephrosclerosisDDKTPred, MMF, Tacro1.1699Delayed graft function, TMA
16 [5]53FBowel resection (Crohn’s)UnknownDDKTPred, MMF, Tacro1.1637Dehydration, ATN
17 [5]67MBowel resection (Crohn’s)NephrolithiasisDDKTPred, MMF, Tacro135MI, hydro, recurrent UTIs, ATN
18 [5]72MBowel resection (Crohn’s)UnknownDDKTPred, MMF, Tacro0.2569None
19 [5]53MBowel resection (Crohn’s)Focal GSLDKTPred, MMF, Tacro0.040Sepsis, ATN, multiorgan failure, & death
Current59MBowel resection (Crohn’s)UnknownDDKTPred, Aza, Tacro2.667DGF, ATN, oxalate deposition

eGFR at last follow-up was generated using CKD-EPI formula when serum creatinine was available; Caucasian race was assumed if race was not available. ATN: acute tubular necrosis; Aza: azathioprine; DDKT: deceased donor kidney transplant; DGF: delayed graft function; EC: enterocutaneous; GS: glomerulosclerosis; Hydro: hydronephrosis; IFTA: interstitial fibrosis and tubular atrophy; LDKT: living donor kidney transplant; MI: myocardial infarction; MMF: mycophenolate mofetil; Pred: prednisone; Rapa: rapamycin; Tacro: tacrolimus; UTI: urinary tract infection.