An integrated MELD model including serum sodium and age improves the prediction of early mortality in patients with cirrhosis

Angelo Luca, Berhard Angermayr, Guido Bertolini, Franz Koenig, Giovanni Vizzini, Martin Ploner, Markus Peck‐Radosavljevic, Bruno Gridelli, Jaime Bosch – 30 July 2007 – The Model for End‐Stage Liver Disease (MELD) is widely used to predict the short‐term mortality in patients with cirrhosis, but potential limitations of this score have been reported. The aim of this study was to improve the score's prognostic accuracy by assessing new objective variables.

Endoscopic retrograde cholangiography in post–orthotopic liver transplant population with Roux‐en‐Y biliary reconstruction

Prabhleen Chahal, Todd H. Baron, John J. Poterucha, Charles B. Rosen – 30 July 2007 – Endoscopic retrograde cholangiography (ERC) is a well‐established modality for diagnostic and therapeutic maneuvers in pancreaticobiliary disorders. However, it is technically more challenging in patients with postsurgical anatomy like Roux‐en‐Y anastomoses. Its effectiveness in post–orthotopic liver transplantation (OLT) patients with Roux‐en‐Y biliary reconstruction has not been reported. We sought to assess the efficacy and safety of ERC in this patient population.

An artificial vascular graft is a useful interpositional material for drainage of the right anterior section in living donor liver transplantation

Nam‐Joon Yi, Kyung‐Suk Suh, Hae Won Lee, Eung‐Ho Cho, Woo Young Shin, Jai Young Cho, Kuhn Uk Lee – 30 July 2007 – Congestion in the anterior section in a right liver (RL) without a middle hepatic vein (MHV) may lead to graft dysfunction. To solve this problem, an RL draining MHV branches with autologous or cryopreserved vessels can be introduced. However, these vessels are often unavailable, and their preparation is time‐consuming. An expanded polytetrafluoroethylene (ePTFE) graft may be used for anterior section drainage.

Living donor liver transplantation for children in Brazil weighing less than 10 kilograms

Joao Seda Neto, Eduardo Carone, Vincenzo Pugliese, Alcides Salzedas, Eduardo A. Fonseca, Hsiang Teng, Gilda Porta, Renata Pugliese, Irene Miura, Vera Baggio, Massami Hayashi, Marcos Beloto, Teresa Guimaraes, Andre Godoy, Mario Kondo, Paulo Chapchap – 30 July 2007 – Infants with end‐stage liver disease represent a treatment challenge. Living donor liver transplantation (LDLT) is the only option for timely liver transplantation in many areas of the world, adding to the technical difficulties of the procedure.

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