The association of HLA‐DR13 with lower graft survival rates in hepatitis B and primary sclerosing cholangitis caucasian patients receiving a liver transplant

Yasuro Futagawa, Kayo Waki, Junchao Cai – 22 March 2006 – We investigated an association of human leukocyte antigen (HLA)‐DR13 to graft survival in liver transplantation among Caucasian recipients. 28,708 deceased liver transplants performed between January 1990 and December 2002 in the United States as reported to the United Network for Organ Sharing registry were utilized to compare survival rates. We utilized Caucasian adult patients (>20 years) by Kaplan‐Meier curves, log‐rank tests, and Cox proportional hazard analyses.

Effect of ischemic preconditioning in whole liver transplantation from deceased donors. A pilot study

Matteo Cescon, Gian Luca Grazi, Alberto Grassi, Matteo Ravaioli, Gaetano Vetrone, Giorgio Ercolani, Giovanni Varotti, Antonietta D'Errico, Giorgio Ballardini, Antonio Daniele Pinna – 22 March 2006 – The effect of ischemic preconditioning (IPC) in orthotopic liver transplantation (OLT) has not yet been clarified. We performed a pilot study to evaluate the effects of IPC in OLT by comparing the outcomes of recipients of grafts from deceased donors randomly assigned to receive (IPC+ group, n = 23) or not (IPC− group, n = 24) IPC (10‐min ischemia + 15‐min reperfusion).

Minimizing oxidative stress by gene delivery of superoxide dismutase accelerates regeneration after transplantation of reduced‐size livers in the rat

Thorsten G. Lehmann, Tom Luedde, Robert F. Schwabe, Hartwig Bunzendahl, R. Jude Samulski, John J. Lemasters, David A. Brenner – 22 March 2006 – Transplantation of reduced‐size livers may lead to a hypermetabolic state and increased production of oxygen radicals. Since oxygen radicals may cause liver injury and impair liver regeneration, we tested the hypothesis that overexpression of superoxide dismutase (SOD) in reduced‐size livers (RSL) would accelerate regeneration and reduce injury in a rat model of transplantation of RSL.

Live donor liver transplantation

Sander Florman, Charles M. Miller – 22 March 2006 – With ever‐increasing demand for liver replacement, supply of organs is the limiting factor and a significant number of patients die while waiting. Live donor liver transplantation has emerged as an important option for many patients, particularly small pediatric patients and those adults that are disadvantaged by the current deceased donor allocation system. Ideally there would be no need to subject perfectly healthy people in the prime of their lives to a potentially life‐threatening operation to procure transplantable organs.

Isolation of hepatocytes from livers from non‐heart‐beating donors for cell transplantation

Robin D. Hughes, Ragai R. Mitry, Anil Dhawan, Sharon C. Lehec, Raffaele Girlanda, Mohamed Rela, Nigel D. Heaton, Paolo Muiesan – 9 March 2006 – One of the limitations to hepatocyte transplantation is the restricted availability of donor liver tissue. The aim of this study was to evaluate livers from non‐heart‐beating donors (NHBDs) as a source of hepatocytes for cell transplantation. A total of 20 livers/segments obtained from NHBD were perfused under good manufacturing practices using a standard collagenase digestion method.

Long‐term incidence, risk factors, and management of biliary complications after adult living donor liver transplantation

Shin Hwang, Sung‐Gyu Lee, Kyu‐Bo Sung, Kwang‐Min Park, Ki‐Hun Kim, Chul‐Soo Ahn, Young‐Joo Lee, Sung‐Koo Lee, Gyu‐Sam Hwang, Deok‐Bog Moon, Tae‐Yong Ha, Dong‐Sik Kim, Jae‐Pil Jung, Gi‐Won Song – 9 March 2006 – A considerable proportion of adult living donor liver transplantation (LDLT) recipients experience biliary complication (BC), but there are few reports regarding BC based on long‐term studies of a large LDLT population.

Impact of implementation of the MELD scoring system on the prevalence and incidence of chronic renal disease following liver transplantation

Victor I. Machicao, Titte R. Srinivas, Alan W. Hemming, Consuelo Soldevila‐Pico, Roberto J. Firpi, Alan I. Reed, Giuseppi J. Morelli, David R. Nelson, Manal F. Abdelmalek – 9 March 2006 – The implementation of the model for end‐stage liver disease (MELD) score decreased mortality of those awaiting liver transplantation (LT); however, the impact of the MELD allocation system on the risk of chronic renal disease after LT remains unknown. We conducted a non‐concurrent single‐center cohort study of 174 patients undergoing LT at our center.

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