Solid Organ Transplantation: An Ethical Dilemma – Case Report
Yıl: 2018 Cilt: 5 Sayı: 3 Sayfa Aralığı: 278 - 282 Metin Dili: İngilizce DOI: 10.31125/hunhemsire.501047 İndeks Tarihi: 17-10-2020
Solid Organ Transplantation: An Ethical Dilemma – Case Report
Öz: The shortage of cadaveric organ donors continues to be a major problem for solid organ transplantation in Turkey as well as across the world. Due to this shortage, the use of marginal and expanded criteria donors has become a current issue to increase the number of transplantation and to decrease waitlist mortality rates. The use of organs of marginal donors with a history of or active central nervous system tumor has been one possible solution to increase the number of donors in organ transplantation. While this is a lifesaving practice for waitlist patients, it constitutes a risk of malignancy originating from donors. This is an important issue that should be discussed in the field of transplantation and ethics. This case study aims to discuss an ethical dilemma of liver transplantation from a donor with a history of central nervous system tumor to a patient in need of emergency liver transplantation. It is considered that the decision-making process for the use of marginal donor grafts in solid organ transplantation should be managed in accordance with ethical principles.
Anahtar Kelime: Solid Organ Transplantasyonu: Etik İkilem – Olgu Sunumu
Öz: Kadaverik donör sayısındaki yetersizlik, tüm dünyada ve Türkiye’de organ transplantasyonunda en büyük sorun olmaya devam etmektedir. Bu organ sınırlılığı içinde, transplantasyon sayılarını artırmak ve bekleme listelerindeki mortaliteyi azaltmak için marjinal donörlerin ve genişletilmiş seçim kriterlerinin kullanımı gündeme gelmiştir. Aktif santral sinir sistemi tümörü bulunan ya da santral sinir sistemi tümör hikayesi olan marjinal donörlerin organlarının kullanımı organ naklinde donör sayılarını artırma stratejilerden birisi olmuştur. Bu donörlerin organlarının kullanımı, organ bekleyen hastalar için bir taraftan hayat kurtarıcı olurken, diğer yandan donör kaynaklı malignansi riski oluşturmaktadır. Bu durum transplantasyon ve etik alanlarında tartışılması gereken önemli bir konudur. Bu olguda, acil karaciğer nakline ihtiyaç duyan bir hastaya santral sinir sisteminde kitle öyküsü nedeniyle beyin ölümü gerçekleşmiş kadavra donörün karaciğerinin nakledilmesi konusunda yaşanan etik ikilemin tartışılması amaçlanmıştır. Solid organ transplantasyonunda marjinal donör greftlerinin kullanımına karar verme sürecinin etik ilkeler doğrultusunda yönetilmesi gerektiği düşünülmektedir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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| APA | Ozdemir Koken Z, Bostanci E, Akdogan M, Bayraktar N, Dinc L (2018). Solid Organ Transplantation: An Ethical Dilemma – Case Report. , 278 - 282. 10.31125/hunhemsire.501047 |
| Chicago | Ozdemir Koken Zeliha,Bostanci Erdal Birol,Akdogan Meral,Bayraktar Nurhan,Dinc Leyla Solid Organ Transplantation: An Ethical Dilemma – Case Report. (2018): 278 - 282. 10.31125/hunhemsire.501047 |
| MLA | Ozdemir Koken Zeliha,Bostanci Erdal Birol,Akdogan Meral,Bayraktar Nurhan,Dinc Leyla Solid Organ Transplantation: An Ethical Dilemma – Case Report. , 2018, ss.278 - 282. 10.31125/hunhemsire.501047 |
| AMA | Ozdemir Koken Z,Bostanci E,Akdogan M,Bayraktar N,Dinc L Solid Organ Transplantation: An Ethical Dilemma – Case Report. . 2018; 278 - 282. 10.31125/hunhemsire.501047 |
| Vancouver | Ozdemir Koken Z,Bostanci E,Akdogan M,Bayraktar N,Dinc L Solid Organ Transplantation: An Ethical Dilemma – Case Report. . 2018; 278 - 282. 10.31125/hunhemsire.501047 |
| IEEE | Ozdemir Koken Z,Bostanci E,Akdogan M,Bayraktar N,Dinc L "Solid Organ Transplantation: An Ethical Dilemma – Case Report." , ss.278 - 282, 2018. 10.31125/hunhemsire.501047 |
| ISNAD | Ozdemir Koken, Zeliha vd. "Solid Organ Transplantation: An Ethical Dilemma – Case Report". (2018), 278-282. https://doi.org/10.31125/hunhemsire.501047 |
| APA | Ozdemir Koken Z, Bostanci E, Akdogan M, Bayraktar N, Dinc L (2018). Solid Organ Transplantation: An Ethical Dilemma – Case Report. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 5(3), 278 - 282. 10.31125/hunhemsire.501047 |
| Chicago | Ozdemir Koken Zeliha,Bostanci Erdal Birol,Akdogan Meral,Bayraktar Nurhan,Dinc Leyla Solid Organ Transplantation: An Ethical Dilemma – Case Report. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi 5, no.3 (2018): 278 - 282. 10.31125/hunhemsire.501047 |
| MLA | Ozdemir Koken Zeliha,Bostanci Erdal Birol,Akdogan Meral,Bayraktar Nurhan,Dinc Leyla Solid Organ Transplantation: An Ethical Dilemma – Case Report. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, vol.5, no.3, 2018, ss.278 - 282. 10.31125/hunhemsire.501047 |
| AMA | Ozdemir Koken Z,Bostanci E,Akdogan M,Bayraktar N,Dinc L Solid Organ Transplantation: An Ethical Dilemma – Case Report. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2018; 5(3): 278 - 282. 10.31125/hunhemsire.501047 |
| Vancouver | Ozdemir Koken Z,Bostanci E,Akdogan M,Bayraktar N,Dinc L Solid Organ Transplantation: An Ethical Dilemma – Case Report. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2018; 5(3): 278 - 282. 10.31125/hunhemsire.501047 |
| IEEE | Ozdemir Koken Z,Bostanci E,Akdogan M,Bayraktar N,Dinc L "Solid Organ Transplantation: An Ethical Dilemma – Case Report." Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 5, ss.278 - 282, 2018. 10.31125/hunhemsire.501047 |
| ISNAD | Ozdemir Koken, Zeliha vd. "Solid Organ Transplantation: An Ethical Dilemma – Case Report". Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi 5/3 (2018), 278-282. https://doi.org/10.31125/hunhemsire.501047 |
