Acute humoral rejection and C4d immunostaining in ABO blood type‐incompatible liver transplantation

Hironori Haga, Hiroto Egawa, Yasuhiro Fujimoto, Mikiko Ueda, Aya Miyagawa‐Hayashino, Takaki Sakurai, Tomoko Okuno, Itsuko Koyanagi, Yasutsugu Takada, Toshiaki Manabe – 23 February 2006 – Complement C4d deposition in graft capillaries has been reported to be associated with antibody‐mediated rejection in kidney and other solid organ transplantation. The correlation of C4d deposits and humoral rejection in liver transplants, however, is not well understood.

The pediatric end‐stage liver disease (PELD) model as a predictor of survival benefit and posttransplant survival in pediatric liver transplant recipients

Neal R. Barshes, Timothy C. Lee, Ian W. Udell, Christine A. O'Mahoney, Saul J. Karpen, Beth A. Carter, John A. Goss – 23 February 2006 – The pediatric end‐stage liver disease (PELD) model accurately estimates 90‐day waitlist mortality for pediatric liver transplant candidates, but it has been unclear if PELD can identify patients who will derive survival benefit from undergoing liver transplantation (LT), if it correlates with posttransplant survival, or if it can identify patients for whom LT would be futile.

MELD and prediction of post–liver transplantation survival

Shahid Habib, Brian Berk, Chung‐Chou H. Chang, Anthony J. Demetris, Paulo Fontes, Igor Dvorchik, Bijan Eghtesad, Amadeo Marcos, A. Obaid Shakil – 23 February 2006 – The model for end‐stage liver disease (MELD) was developed to predict short‐term mortality in patients with cirrhosis. It has since become the standard tool to prioritize patients for liver transplantation. We assessed the value of pretransplant MELD in the prediction of posttransplant survival. We identified adult patients who underwent liver transplantation at our institution during 1991–2002.

Metabolic syndrome: A new view of some familiar transplant risks

James D. Perkins – 23 February 2006 – The metabolic syndrome is a cluster of interrelated common clinical disorders, including obesity, insulin resistance, glucose intolerance, hypertension, and dyslipidemia (hypertriglyceridemia and low HDL cholesterol levels). According to recently defined criteria, the metabolic syndrome is prevalent and is associated with a greater risk of atherosclerotic cardiovascular disease than any of its individual components.

Validation of cardiovascular risk scores in a liver transplant population

Olaf Guckelberger, Florian Mutzke, Matthias Glanemann, Ulf P. Neumann, Sven Jonas, Ruth Neuhaus, Peter Neuhaus, Jan M. Langrehr – 23 February 2006 – Increased prevalence of cardiovascular risk factors has been acknowledged in liver transplant recipients, and an increased incidence of cardiovascular events has been suspected. Individual risk determination, however, has not yet been established.

Successful adult‐to‐adult living donor liver transplantation in a patient with moderate to severe portopulmonary hypertension

Hideaki Uchiyama, Yuji Soejima, Akinobu Taketomi, Tomoharu Yoshizumi, Noboru Harada, Hideki Ijichi, Yusuke Yonemura, Yoshihiko Maehara – 23 February 2006 – Portopulmonary hypertension (PPHTN) is one of the most devastating consequences of end‐stage liver cirrhosis. When a patient has moderate to severe PPHTN, his or her candidature for liver transplantation is denied. Here we report a successful adult‐to‐adult living donor liver transplantation (LDLT) in a patient with moderate to severe PPHTN.

Increased prevalence of primary biliary cirrhosis near superfund toxic waste sites

Aftab Ala, Carmen M. Stanca, Moueen Bu‐Ghanim, Imad Ahmado, Andrea D. Branch, Thomas D. Schiano, Joseph A. Odin, Nancy Bach – 22 February 2006 – Primary biliary cirrhosis (PBC) and primary sclerosing cholangitis (PSC) are uncommon liver diseases of unknown etiology. Reported clustering of PBC cases may be due to environmental factors. Individuals with PBC have a high prevalence of thyroid disease and thyroid disease is reportedly more prevalent near Superfund toxic waste sites (SFS).

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