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Article: CAPD after aortic graft surgery.

Gulanikar, A C / Jindal, K K / Hirsch, D J

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis

1992 Volume 12, Issue 4, Page(s) 399

MeSH term(s)	Aorta, Abdominal/surgery ; Blood Vessel Prosthesis ; Humans ; Peritoneal Dialysis, Continuous Ambulatory
Language	English
Publishing date	1992
Publishing country	United States
Document type	Comment ; Letter
ZDB-ID	645010-6
ISSN	0896-8608
ISSN	0896-8608
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Article: Renal scars masquerading as complex masses in a patient with vesicoureteral reflux nephropathy.

Deogaygay, B / Gulanikar, A C / Hamrick-Turner, J E / Crook, E D

The American journal of the medical sciences

2001 Volume 321, Issue 6, Page(s) 411–414

Abstract: Vesicoureteral reflux can lead to chronic pyelonephritis, renal scarring, and renal failure. We present a case of renal scarring masquerading as bilateral, complex renal masses. A 35-year old woman who was diagnosed with vesicoureteral reflux as a child ... ...

Abstract	Vesicoureteral reflux can lead to chronic pyelonephritis, renal scarring, and renal failure. We present a case of renal scarring masquerading as bilateral, complex renal masses. A 35-year old woman who was diagnosed with vesicoureteral reflux as a child presented for evaluation of recently developed hypertension and an abnormal renal ultrasound. Her serum creatinine level was 2.5 mg/dL and she had subnephrotic-range proteinuria. A renal sonogram showed small, echogenic kidneys and bilateral complex renal masses of 3.8 (right) and 4.4 (left) cm in greatest dimensions. CT scan of the kidneys revealed slightly contrast-enhancing masses with irregular walls. Renal angiogram showed decreased blood supply to the areas coinciding with the masses consistent with renal scarring. There was no increased vascularity. This case demonstrates that renal scarring may masquerade as renal masses. A step-wise, comprehensive approach is necessary to rule out potentially malignant lesions in these patients.
MeSH term(s)	Adult ; Carcinoma, Renal Cell/diagnosis ; Cicatrix/pathology ; Diagnosis, Differential ; Female ; Humans ; Kidney/pathology ; Kidney Diseases, Cystic/diagnosis ; Kidney Failure, Chronic/etiology ; Kidney Failure, Chronic/pathology ; Kidney Neoplasms/diagnosis ; Vesico-Ureteral Reflux/complications ; Vesico-Ureteral Reflux/pathology
Language	English
Publishing date	2001-06
Publishing country	United States
Document type	Case Reports ; Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	82078-7
ISSN	1538-2990 ; 0002-9629
ISSN (online)	1538-2990
ISSN	0002-9629
DOI	10.1097/00000441-200106000-00007
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Article: Impact of diagnostic laparoscopy in the management of the unilateral impalpable testis.

Gulanikar, A C / Anderson, P A / Schwarz, R / Giacomantonio, M

British journal of urology

1996 Volume 77, Issue 3, Page(s) 455–457

Abstract: Objective: To evaluate the impact of laparoscopy on the management of children with a unilateral impalpable testis.: Patients and methods: The study population consisted of 27 children who underwent a primary inguinal exploration for a unilateral ... ...

Abstract	Objective: To evaluate the impact of laparoscopy on the management of children with a unilateral impalpable testis. Patients and methods: The study population consisted of 27 children who underwent a primary inguinal exploration for a unilateral impalpable testis. Results: Twelve of 27 (44%) children had inguinal or 'peeping' testes and 10 of 27 (37%) had blind-ending vasa and vessels in the inguinal canal; four of these 10 had atrophic tubular tissue in the excised remant. Four of 27 (15%) had blind-ending vasa and vessels proximal to the internal ring. Only one child had a testis proximal to the internal ring. Only the four children (15%) with blind-ending vasa and vessels proximal to the internal ring would have benefited from a laparoscopy by avoiding an inguinal exploration. Conclusions: Because of the time, expense and limited usefulness of laparoscopy in altering the management of children with a unilateral unpalpable testis, we reserve laparoscopy for cases where inguinal exploration has failed.
MeSH term(s)	Child ; Child, Preschool ; Cryptorchidism/diagnosis ; Cryptorchidism/surgery ; Humans ; Infant ; Inguinal Canal/surgery ; Laparoscopy ; Male
Language	English
Publishing date	1996-03
Publishing country	England
Document type	Journal Article
ZDB-ID	2986-5
ISSN	1365-2176 ; 0007-1331 ; 1358-8672
ISSN (online)	1365-2176
ISSN	0007-1331 ; 1358-8672
DOI	10.1046/j.1464-410x.1996.91225.x
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Ui VI Zs.107: Show issues

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Article: Is chronic peritoneal dialysis safe in patients with intra-abdominal prosthetic vascular grafts?

Gulanikar, A C / Jindal, K K / Hirsch, D J

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association

1991 Volume 6, Issue 3, Page(s) 215–217

MeSH term(s)	Abdomen ; Aged ; Arteriosclerosis/complications ; Arteriosclerosis/surgery ; Blood Vessel Prosthesis/adverse effects ; Contraindications ; Female ; Humans ; Kidney Failure, Chronic/complications ; Kidney Failure, Chronic/therapy ; Male ; Peritoneal Dialysis, Continuous Ambulatory/adverse effects ; Peritonitis/etiology ; Safety ; Sepsis/prevention & control ; Vasculitis/prevention & control
Language	English
Publishing date	1991
Publishing country	England
Document type	Journal Article
ZDB-ID	90594-x
ISSN	1460-2385 ; 0931-0509
ISSN (online)	1460-2385
ISSN	0931-0509
DOI	10.1093/ndt/6.3.215
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Zs.A 2198: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 329: Show issues

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Article: Does immunosuppression alter the growth of metastatic liver carcinoid after orthotopic liver transplantation?

Gulanikar, A C / Kotylak, G / Bitter-Suermann, H

Transplantation proceedings

1991 Volume 23, Issue 4, Page(s) 2197–2198

MeSH term(s)	Aneuploidy ; Carcinoid Tumor/pathology ; Carcinoid Tumor/surgery ; Cyclosporins/therapeutic use ; DNA, Neoplasm/genetics ; DNA, Neoplasm/isolation & purification ; Diploidy ; Female ; Humans ; Immunosuppression ; Liver Neoplasms/pathology ; Liver Neoplasms/secondary ; Liver Neoplasms/surgery ; Liver Transplantation/immunology ; Middle Aged ; Prednisone/therapeutic use ; Recurrence ; Stomach Neoplasms/surgery
Chemical Substances	Cyclosporins ; DNA, Neoplasm ; Prednisone (VB0R961HZT)
Language	English
Publishing date	1991-08
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	82046-5
ISSN	1873-2623 ; 0041-1345
ISSN (online)	1873-2623
ISSN	0041-1345
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Zs.A 835: Show issues

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Article: Prospective pretransplant ultrasound screening in 206 patients for acquired renal cysts and renal cell carcinoma.

Gulanikar, A C / Daily, P P / Kilambi, N K / Hamrick-Turner, J E / Butkus, D E

Transplantation

1998 Volume 66, Issue 12, Page(s) 1669–1672

Abstract: Background: Numerous studies have reported an increased prevalence of renal cell carcinoma in association with acquired cystic kidney disease (ACKD). In 1995, the clinical practice guidelines of the American Society of Transplant Physicians for ... ...

Abstract	Background: Numerous studies have reported an increased prevalence of renal cell carcinoma in association with acquired cystic kidney disease (ACKD). In 1995, the clinical practice guidelines of the American Society of Transplant Physicians for evaluation of renal transplant candidates recommend not screening for ACKD and renal cell carcinoma, on the basis of the low frequency of cancer and reported regression of ACKD after transplantation. The objective of this study was to prospectively evaluate the prevalence of ACKD and renal cancer during renal transplant evaluation. Methods: A total of 206 consecutive adult patients evaluated for renal transplantation underwent a routine renal ultrasound. Patients with a suspicious ultrasound underwent a contrasted computed tomographic scan of the kidneys followed by excision of kidneys with solid, enhancing (>10 Hounsfield units) lesions. Results: Sixty-three (30.6%) of 206 patients had ACKD, with a greater proportion being male, African-American, and dialysis-dependent for a longer duration. Eight patients (3.8%) had histologically proven localized cancer (six unilateral, two bilateral), seven in association with ACKD and one in association with autosomal dominant polycystic kidney disease. With a mean follow-up of 14 months (range, 3-33 mo), there has been no recurrence. The positive predictive value of a solid lesion on ultrasound was 100% (8 of 8 patients). Conclusion: With the high prevalence (3.4%) of renal cell carcinoma in association with ACKD and the concern that immunosuppression accelerates the growth of preexisting cancers, we continue to recommend ultrasound screening of the native kidneys before renal transplantation.
MeSH term(s)	Adult ; Aged ; Carcinoma, Renal Cell/diagnostic imaging ; Female ; Humans ; Kidney/diagnostic imaging ; Kidney Diseases, Cystic/diagnostic imaging ; Kidney Neoplasms/diagnostic imaging ; Kidney Transplantation ; Male ; Middle Aged ; Prospective Studies ; Ultrasonography
Language	English
Publishing date	1998-12-27
Publishing country	United States
Document type	Journal Article
ZDB-ID	208424-7
ISSN	1534-6080 ; 0041-1337
ISSN (online)	1534-6080
ISSN	0041-1337
DOI	10.1097/00007890-199812270-00017
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Zs.A 488: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 509: Show issues

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Article: The incidence and impact of early rejection episodes on graft outcome in recipients of first cadaver kidney transplants.

Gulanikar, A C / MacDonald, A S / Sungurtekin, U / Belitsky, P

Transplantation

1992 Volume 53, Issue 2, Page(s) 323–328

Abstract: The objective of this study was to define the incidence and significance of acute rejection occurring in the first year following transplantation. The influence of contemporary induction immunosuppression on rejection, as well as the effect of rejection ... ...

Abstract	The objective of this study was to define the incidence and significance of acute rejection occurring in the first year following transplantation. The influence of contemporary induction immunosuppression on rejection, as well as the effect of rejection on graft and patient loss, renal function, and maintenance immunosuppression during the first year in 110 recipients of first cadaver renal transplants were analyzed. All patients received CsA, Aza, and prednisone for 30 days with withdrawal of Aza at 30 days and then prednisone at 105 days; 57 patients were prospectively randomized to receive ALG (Merieux) until serum creatinine was less than 300 mumol/L. Short-term ALG administration did not influence the incidence, severity, nature, or outcome of rejection episodes. Fifty-five (50%) patients had at least 1 rejection in the first 90 days. All patients with delayed graft function and 7/8 (88%) sensitized patients (current PRA greater than 50%) had at least 1 rejection episode; 71% (n = 35) of all rejection episodes occurred in the first 30 days posttransplant. Patients rejection free at 90 days remained rejection free the entire first year. Graft loss was 18% for rejections in the first month, 13% for rejections occurring later (P = NS); 20% (n = 11) of patients had a second rejection and 1% (n = 2) had a third rejection. The risk of graft loss was 9% with a first rejection, 38% with a second rejection, and 50% with a third rejection. Of 12 (22%) rejections that were steroid resistant, 10 (83%) were reversed with OKT3. One-year graft survival for patients without rejection, with steroid-sensitive rejection, and with steroid-resistant rejection was 96%, 88% (P = ns), and 58% (P less than 0.001), respectively; 1 year SCr was 168 +/- 93, 196 +/- 77 (P = ns), and 268 +/- 96 microMol/L (P less than 0.05), respectively. Patients free of rejection and with stable renal function continued to do well on maintenance CsA monotherapy, and they were more likely to be on CsA monotherapy than those with rejection episodes (P less than 0.01).
MeSH term(s)	Adult ; Cadaver ; Cyclosporine/adverse effects ; Cyclosporine/therapeutic use ; Drug Resistance ; Female ; Graft Rejection ; Graft Survival ; HLA-DR Antigens/analysis ; Histocompatibility Testing ; Humans ; Immunosuppressive Agents/therapeutic use ; Incidence ; Kidney Transplantation/immunology ; Kidney Transplantation/mortality ; Male ; Middle Aged ; Prednisone/pharmacology ; Survival Rate ; Transplantation, Homologous/physiology
Chemical Substances	HLA-DR Antigens ; Immunosuppressive Agents ; Cyclosporine (83HN0GTJ6D) ; Prednisone (VB0R961HZT)
Language	English
Publishing date	1992-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	208424-7
ISSN	1534-6080 ; 0041-1337
ISSN (online)	1534-6080
ISSN	0041-1337
DOI	10.1097/00007890-199202010-00013
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Zs.A 488: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 509: Show issues

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Article: Randomized controlled trial of steroids versus no steroids in stable cyclosporine-treated renal graft recipients.

Gulanikar, A C / Belitsky, P / MacDonald, A S / Cohen, A / Bitter-Suermann, H

Transplantation proceedings

1991 Volume 23, Issue 1 Pt 2, Page(s) 990–991

MeSH term(s)	Cyclosporins/administration & dosage ; Double-Blind Method ; Graft Rejection/drug effects ; Humans ; Immunosuppression/methods ; Kidney Transplantation/immunology ; Prednisone/administration & dosage ; Prospective Studies ; Survival Analysis
Chemical Substances	Cyclosporins ; Prednisone (VB0R961HZT)
Language	English
Publishing date	1991-02
Publishing country	United States
Document type	Clinical Trial ; Journal Article ; Randomized Controlled Trial
ZDB-ID	82046-5
ISSN	1873-2623 ; 0041-1345
ISSN (online)	1873-2623
ISSN	0041-1345
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Zs.A 835: Show issues

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Article: Sequential discontinuation of azathioprine and prednisone in renal transplantation.

Gulanikar, A C / Sungurtekin, U / MacDonald, A S / Belitsky, P / Bitter-Suermann, H / Cohen, A / Jindal, K

Transplantation proceedings

1991 Volume 23, Issue 4, Page(s) 2226–2227

Abstract: We report the time course of rejections in 110 patients of first cadaver kidney grafts entered into a randomized controlled trial of induction ALG vs continuous IV CyA, with both groups receiving Aza for 30 days and Pred for 3 months. There was no ... ...

Abstract	We report the time course of rejections in 110 patients of first cadaver kidney grafts entered into a randomized controlled trial of induction ALG vs continuous IV CyA, with both groups receiving Aza for 30 days and Pred for 3 months. There was no difference in 1-year graft or patient survival in the two induction regimens. Despite a slight delay in time to first rejection, the number, severity, and outcome of rejections were the same in both. Fifty percent of patients never had a rejection, and 80% of these were on CyA monotherapy at 1 year vs only 22% in patients with rejections. Thirty-five percent had a rejection in the first month, and one fourth of these had a repeat in the second month. The risk of graft loss was 10% with a first, 38% with a second, and 50% with a third rejection. First rejections occurring after 30 days rarely caused graft loss and rejection after 90 days proved to be unusual.
MeSH term(s)	Administration, Oral ; Adolescent ; Adult ; Aged ; Antilymphocyte Serum/therapeutic use ; Biopsy, Needle ; Child ; Cyclosporins/administration & dosage ; Cyclosporins/therapeutic use ; Graft Rejection ; Humans ; Immunosuppression/methods ; Infusions, Intravenous ; Kidney Transplantation/immunology ; Kidney Transplantation/pathology ; Middle Aged ; Retrospective Studies
Chemical Substances	Antilymphocyte Serum ; Cyclosporins
Language	English
Publishing date	1991-08
Publishing country	United States
Document type	Clinical Trial ; Comparative Study ; Journal Article ; Randomized Controlled Trial
ZDB-ID	82046-5
ISSN	1873-2623 ; 0041-1345
ISSN (online)	1873-2623
ISSN	0041-1345
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