Thomas A. Aloia, Richard Knight, A. Osama Gaber, R. Mark Ghobrial, John A. Goss – 27 July 2010 – Older recipient age is associated with worse posttransplant survival. Although the median age of liver disease patients undergoing orthotopic liver transplantation (OLT) continues to rise, prognostic factors for posttransplant survival specific to older patients have not been defined.

Toshiyasu Kawahara, Christian Toso, Donna N. Douglas, Mahra Nourbakhsh, Jamie T. Lewis, David Lorne Tyrrell, Garry A. Lund, Thomas A. Churchill, Norman M. Kneteman – 27 July 2010 – Human hepatocyte transplantation is an alternative treatment for acute liver failure and liver diseases involving enzyme deficiencies. Although it has been successfully applied in selected recipients, both isolation and transplantation outcomes have the potential to be improved by better donor selection.

Maurizio Biselli, Stefano Gitto, Annagiulia Gramenzi, Roberto Di Donato, Lucia Brodosi, Matteo Ravaioli, Gian Luca Grazi, Antonio Daniele Pinna, Pietro Andreone, Mauro Bernardi – 27 July 2010 – Many prognostic systems have been devised to predict the outcome of liver transplantation (LT) candidates. Today, the Model for End‐Stage Liver Disease (MELD) is widely used for organ allocation, but it has shown some limitations. The aim of this study was to investigate the performance of MELD compared to 5 different score models.

Eric J. Grossman, J. Michael Millis – 27 July 2010 – Orthotopic liver transplantation (OLT) is currently incorporated into the treatment regimens for specific nonhepatocellular malignancies. For patients suffering from early‐stage, unresectable hilar cholangiocarcinoma (CCA), OLT preceded by neoadjuvant radiotherapy has the potential to readily achieve a tumor‐free margin, accomplish a radical resection, and treat underlying primary sclerosing cholangitis when present. In highly selected stage I and II patients with CCA, the 5‐year survival rate is 80%.

Kymberly D. S. Watt, Elizabeth Coss, Rachel A. Pedersen, Ross Dierkhising, Julie K. Heimbach, Michael R. Charlton – 27 July 2010 – Optimizing the utility of liver transplantation requires the identification of factors that confer increased risk of posttransplant mortality. Elevated serum troponin (TN) levels are strongly predictive of posttransplant mortality after kidney transplantation.

Mahesh Bandara, Fredric D. Gordon, Akmal Sarwar, M. Elizabeth Knauft, Elizabeth A. Pomfret, Richard B. Freeman, Joel A. Wirth – 27 July 2010 – Pulmonary arterial hypertension (PAH) associated with portal hypertension [portopulmonary hypertension (PPHTN)] occurs in 2% to 10% of patients with advanced liver disease and carries a very poor prognosis without treatment. Most hepatic transplantation centers consider moderate to severe PPHTN to be a contraindication to liver transplantation because of the high rate of perioperative complications.

Fabio Piscaglia, Alessandro Cucchetti, Eleonora Terzi, Alice Gianstefani – 27 July 2010

John P. Roberts, Alan Venook, Robert Kerlan, Francis Yao – 27 July 2010 – This opinion piece explores an “ablate and wait” strategy for improving the 5‐year recurrence‐free outcome of liver transplantation in patients with hepatocellular carcinoma. The Milan criteria delimit by tumor size and number a population of patients who have good survival after liver transplantation.

Kim M. Olthoff, Laura Kulik, Benjamin Samstein, Mary Kaminski, Michael Abecassis, Jean Emond, Abraham Shaked, Jason D. Christie – 27 July 2010 – Translational studies in liver transplantation often require an endpoint of graft function or dysfunction beyond graft loss. Prior definitions of early allograft dysfunction (EAD) vary, and none have been validated in a large multicenter population in the Model for End‐Stage Liver Disease (MELD) era. We examined an updated definition of EAD to validate previously used criteria, and correlated this definition with graft and patient outcome.

Guy Neff, Victoria Zacharias, Tiffany E. Kaiser, Amy Gaddis, Nyingi Kemmer – 27 July 2010 – Previous data have suggested that the nonsystemic antibiotic rifaximin may be effective for the treatment of Clostridium difficile infection (CDI). This single‐center retrospective study evaluated the efficacy of rifaximin for the treatment of CDI refractory to standard treatments in patients who had received liver transplants. Among 205 patients who had received liver transplants between July 2001 and December 2007, 3 patients with a confirmed diagnosis of C.