Disseminated histoplasmosis in a liver transplant recipient

Young S. Oh, Mauricio Lisker‐Melman, Kevin M. Korenblat, Gary R. Zuckerman, Jeffrey S. Crippin – 22 March 2006 – A 61‐yr‐old liver transplant recipient presented with abdominal cramping and nonbloody diarrhea resulting in orthostasis. Multiple ulcerations throughout the colon were seen during endoscopy, and biopsies from the ulcer edges revealed histoplasmosis. Treatment with a course of itraconazole improved the diarrhea. The patient later presented with pericarditis and symptomatic pleural effusions, the latter of which was confirmed to be a result of disseminated histoplasmosis.

Influence of donor/recipient HLA‐matching on outcome and recurrence of hepatitis C after liver transplantation

Jan Michael Langrehr, Gero Puhl, Marcus Bahra, Maximilian Schmeding, Antonino Spinelli, Thomas Berg, Constanze Schönemann, Veit Krenn, Peter Neuhaus, Ulf Peter Neumann – 22 March 2006 – The aim of this study was to analyze the effect of human leukocyte antigen (HLA) matching on outcome, severity of recurrent hepatitis C and risk of rejection in hepatitis C positive patients after liver transplantation (LT).

The effect of HLA class I (A and B) and class II (DR) compatibility on liver transplantation outcomes: An analysis of the OPTN database

Victor Navarro, Steven Herrine, Charles Katopes, Beth Colombe, C. Victor Spain – 22 March 2006 – The purpose of this study was to explore the relationship between human leukocyte antigen (HLA) compatibility and liver transplantation outcomes by analyzing the effect of HLA compatibility on 5‐year graft survival. We analyzed first liver transplants between 1987 and 2002 in the Organ Procurement and Transplantation Network (OPTN) database, where A, B, or DR loci data were available. Graft failure was defined as retransplantation or death from transplant‐related cause.

Alcohol consumption patterns and predictors of use following liver transplantation for alcoholic liver disease

Andrea DiMartini, Nancy Day, Mary Amanda Dew, Lubna Javed, Mary Grace Fitzgerald, Ashok Jain, John J. Fung, Paulo Fontes – 9 March 2006 – For patients who receive a liver transplant (LTX) for alcoholic liver disease (ALD), investigators are focusing beyond survival to determine specific alcohol use outcomes. Studies suggest the use of alcohol ranges from 8 to 22% for the first post‐transplant year with cumulative rates reaching 30 to 40% by 5 years following transplantation.

ABO‐mismatch adult living donor liver transplantation using antigen‐specific immunoadsorption and quadruple immunosuppression without splenectomy

Roberto Troisi, Lucien Noens, Roberto Montalti, Salvatore Ricciardi, Jan Philippé, Marleen Praet, Pasquale Conoscitore, Michele Centra, Bernard de Hemptinne – 9 March 2006 – ABO‐incompatible (ABO‐I) liver transplantation is a controversial issue because of the generally less favorable outcome as compared to compatible transplants. Encouraging results have been shown by the introduction of new strategies to reduce posttransplant‐specific hemagglutinin (HA) titers with plasmapheresis, reinforced immunosuppression (IS), and the use of splenectomy.

Effect of calcineurin inhibitors on survival and histologic disease severity in HCV‐infected liver transplant recipients

Marina Berenguer, Victoria Aguilera, Martín Prieto, Fernando San Juan, José M. Rayón, Salvador Benlloch, Joaquín Berenguer – 9 March 2006 – The severity of recurrent hepatitis C virus (HCV) is likely related to several factors. Controversial results have been reported regarding the effect of specific calcineurin‐inhibitors. The aim of this research was to determine whether there are differences on posttransplantation outcome in HCV‐infected patients based on initial immunosuppression. Prospective randomized trial comparing tacrolimus vs.

Plasma ADAMTS13 activity may predict early adverse events in living donor liver transplantation: Observations in 3 cases

Saiho Ko, Eiji Okano, Hiromichi Kanehiro, Masanori Matsumoto, Hiromichi Ishizashi, Masahito Uemura, Yoshihiro Fujimura, Koichi Tanaka, Yoshiyuki Nakajima – 9 March 2006 – A disintegrin‐like and metalloproteinase with thrombospondin type‐1 motifs 13 (ADAMTS13) is a metalloproteinase that specifically cleaves the multimeric von Willebrand factor (VWF). Deficiency of ADAMTS13 increases the unusually large VWF multimers (UL‐VWFM), which leads to platelet clumping and/or thrombus formation, resulting in microcirculatory disturbance.

Living donor liver transplantation for hepatocellular carcinoma: A single‐center preliminary report

Massimo Malagó, Georgios C. Sotiropoulos, Silvio Nadalin, Camino Valentin‐Gamazo, Andreas Paul, Hauke Lang, Arnold Radtke, Fuat Saner, Ernesto Molmenti, Susanne Beckebaum, Guido Gerken, Andrea Frilling, Christoph E. Broelsch – 9 March 2006 – Liver transplantation (LT) is the treatment of choice for early hepatocellular carcinoma (HCC) in patients with end‐stage liver disease but is limited by the availability of donor organs. Living donor liver transplantation (LDLT) represents an alternative therapeutic option for patients with disease confined to the liver.

Fatigue is a major problem after liver transplantation

Rita van den Berg‐Emons, Berbke van Ginneken, Markus Wijffels, Hugo Tilanus, Herold Metselaar, Henk Stam, Geert Kazemier – 9 March 2006 – Fatigue is often experienced after liver transplantation. The aim of this cross‐sectional study was to assess the severity of fatigue in liver transplant recipients. In addition, the nature of fatigue and factors that may be associated with severity of fatigue after liver transplantation were explored. Ninety‐six patients up to 15 years after liver transplantation were included.

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.

Subscribe to