Perioperative coagulation management in a patient with afibrinogenemia undergoing liver transplantation

Ralph J. Fuchs, Jay Levin, Meghan Tadel, William Merritt – 24 April 2007 – Afibrinogenemia is a rare hereditary coagulation disorder characterized by a propensity toward bleeding. A 21‐year‐old Hispanic woman with afibrinogenemia developed ascites, a distended abdomen, an enlarged liver, scleral icterus, and umbilical vein and abdominal wall vein distension. Computed tomography (CT) scan showed occlusion of the hepatic veins and the infrahepatic vena cava consistent with Budd‐Chiari syndrome.

Urinary ethyl glucuronide testing detects alcohol consumption in alcoholic liver disease patients awaiting liver transplantation

Yesim Erim, Michael Böttcher, Uta Dahmen, Olof Beck, Christoph E. Broelsch, Anders Helander – 24 April 2007 – This study compared measurement of urinary ethyl glucuronide (EtG), a conjugated minor ethanol metabolite with a longer detection window than ethanol itself, with breath alcohol testing and self‐report as ways to disclose recent drinking by 18 liver transplant candidates with an alcoholic liver disease diagnosis that underwent an addiction group therapy program.

Liver transplantation for status 1: The consequences of good intentions

Sue V. McDiarmid, Nathan P. Goodrich, Ann M. Harper, Robert M. Merion – 24 April 2007 – Status 1 is the listing category reserved for patients awaiting liver transplantation who are at risk of imminent death. This high allocation priority was intended to benefit patients with acute liver failure and children with severe chronic liver failure. However, the status 1 criteria were not well defined.

Stereological evaluation of liver volume in living donor liver transplantation using MDCT via the cavalieri method

Cihan Duran, Bulent Aydinli, Yaman Tokat, Yildiray Yuzer, Mecit Kantarci, Metin Akgun, Kamil Yalcin Polat, Bünyami Unal, Refik Killi, S. Selcuk Atamanalp – 24 April 2007 – In living donor liver transplantation (LDLT), obtaining the precise volume of the graft is very important to decrease volume‐related postoperative complications, especially in cases with suspected small‐for size grafts.

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