Endoscopic variceal ligation for primary prophylaxis of esophageal variceal hemorrhage in pre–liver transplant patients

Eu Jin Lim, Paul J. Gow, Peter W. Angus – 28 October 2009 – Endoscopic variceal ligation (EVL) is widely used to prevent esophageal variceal bleeding in patients with advanced cirrhosis. However, the safety and efficacy of EVL in this setting have not been clearly established. This study included 300 adult patients with cirrhosis on our liver transplant waitlist who underwent upper gastrointestinal endoscopy. Esophageal varices deemed to be at high risk of bleeding were banded until eradication or transplantation.

Survival of Clostridium perfringens sepsis in a liver transplant recipient

Geraldine C. Diaz, Thomas Boyer, John F. Renz – 28 October 2009 – Clostridium perfringens sepsis following orthotopic liver transplantation (OLT) is a rare but reported complication that historically results in mortality or emergent retransplantation (ReTx).1–7 Complications from C. perfringens emphysematous gastritis have contributed to the death of a healthy live liver donor as well.8 Herein, we describe the first documented survivor of C. perfringens sepsis following OLT managed without laparotomy or emergent ReTx. Liver Transpl 15:1469–1472, 2009. © 2009 AASLD.

In‐hospital mortality in adult recipients of living donor liver transplantation: Experience of 576 consecutive cases at a single center

Toshimi Kaido, Hiroto Egawa, Hiroaki Tsuji, Eishi Ashihara, Taira Maekawa, Shinji Uemoto – 28 October 2009 – Adult living donor liver transplantation (LDLT) was developed against the background of a scarcity of deceased donors and has a number of disadvantages leading to in‐hospital mortality, such as marginal donors and grafts and recipients suffering from severe conditions. We have thus developed surgical and medical innovations to overcome these disadvantages. The present study analyzes the causes of death and factors affecting in‐hospital mortality in adult recipients of LDLT.

Effects of obesity, diabetes, and prior abdominal surgery on resource utilization in liver transplantation: A single‐center study

Satheesh Nair, Jason M. Vanatta, Jihad Arteh, James D. Eason – 28 October 2009 – Obesity, diabetes, and prior abdominal surgery are generally considered to increase the risk of liver transplantation. The aim of the present study was to define the effects of these factors on the immediate outcome after transplantation. Two hundred twenty‐one consecutive liver transplants were analyzed. Twenty‐eight patients were excluded.

Characteristics and management of splenic artery aneurysms in adult living donor liver transplant recipients

Deok‐Bog Moon, Sung‐Gyu Lee, Shin Hwang, Ki‐Hun Kim, Chul‐Soo Ahn, Tae‐Yong Ha, Gi‐Won Song, Dong‐Hwan Jung, Gi‐Young Ko, Kyu‐Bo Sung – 28 October 2009 – Splenic artery aneurysms (SAAs), occurring in 7% to 17% of patients with cirrhosis, often result in catastrophic rupture after liver transplantation. We had experienced 3 cases of ruptured SAAs after adult living donor liver transplantation (LDLT), and we then performed this study to find risk factors for coexisting SAAs in liver transplant candidates with cirrhosis and to propose ideal approaches for them.

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