KIDNEY TRANSPLANTATION IN BRUNEI DARUSSALAM – PAST, PRESENT AND FUTURE.

Jackson TAN1, Muhammad Abdul MABOOD KHALIL1, Siti Musurianin MD YUSOF1, Dalinatul AHMED1, Koo Guan CHAN2, Hock Beng CHUA2, Kim Khee TAN2, Chee Fui CHONG2, Mohan RAO2.

1Department of Renal Services and 2Department of General Surgery, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan BA1710, Brunei Darussalam.

ABSTRACT

Kidney transplantation is the treatment of choice for the majority of patients with Kidney Failure in an ideal world and is preferred over dialysis on the basis of evidence that demonstrate improvement in health-related quality of life and prolongation of life expectancy. However, shortage of suitable organs remains a limiting factor for program expansion. In Brunei Darussalam, despite having conducted over 16 cases of successful living related donor-recipient kidney transplantation over a period of 8 years, the program is still considered at its infancy state. This review article discusses the evolution of our program and the problems associated with setting up such a nationwide renal transplantation program and elaborate our plans to increase the scope of services in the future, towards ‘Wawasan 2035’.

Keywords: Brunei Darussalam, Dialysis, Renal Failure, Renal Transplantation, Wawasan 2035.

Corresponding author: Dr Jackson Tan, Consultant Nephrologist, Department of Renal Medicine, Ripas Hospital, Bandar Seri Begawan, Brunei Darussalam BA1712. Email: drjacksontan@yahoo.co.uk

 

Brunei Int Med J.2022;18:129-138

BACK TO CONTENTS