De novo breast cancer in patients with liver transplantation: University of Pittsburgh's experience and review of the literature

M.Tahir Oruc, Atilla Soran, Ashok K. Jain, John W. Wilson, John Fung – 6 January 2004 – De novo malignancies are one of the current problems in patients with organ transplantation. The incidence has been considered to be higher as a result of increases of oncogenic viruses in immunosuppressed organ recipients. Published reports have shown increased incidence of de novo tumors such as malignant lymphomas and cutaneous neoplasms but decreased incidence of breast cancer.

Periportal edema and necrosis as diagnostic histological features of early humoral rejection in ABO‐incompatible liver transplantation

Hironori Haga, Hiroto Egawa, Tomoyuki Shirase, Aya Miyagawa, Takaki Sakurai, Sachiko Minamiguchi, Hirohiko Yamabe, Toshiaki Manabe, Koichi Tanaka – 6 January 2004 – Humoral rejection caused by antidonor blood group A/B antibodies is one of the most important obstacles for successful ABO‐incompatible liver transplantation. However, no specific morphologic features of liver biopsies to distinguish humoral rejection from other conditions such as ischemia or sepsis have been satisfactorily documented.

Impaired regeneration of biliary cells in human chronic liver allograft rejection. Special emphasis on the role of the finest branches of the biliary tree

Marius C. van den Heuvel, Koert P. de Jong, Marian L.C. van der Horst, Sibrand Poppema, Maarten J.H. Slooff, Annette S.H. Gouw – 6 January 2004 – Severe loss of bile ducts is a hallmark of chronic liver rejection. We hypothesize that loss of the finest branches of the biliary tree, including the intralobular segments, contributes to an impaired regenerative response of bile ducts in chronic rejection. The number and proliferative response of bile ducts, intraportal ductules, and extraportal biliary cells were studied in graft biopsies of 12 chronic‐rejection patients.

Hepatectomy of living donors with a left‐sided gallbladder and multiple combined anomalies for adult‐to‐adult living donor liver transplantation

Shin Hwang, Sung‐Gyu Lee, Kwang‐Min Park, Young‐Joo Lee, Chul‐Soo Ahn, Ki‐Hoon Kim, Deog‐Bok Moon, Tae‐Yong Ha, Sung‐Hun Cho, Ki‐Bong Oh – 6 January 2004 – The left‐sided gallbladder is very rare, but it is often accompanied by multiple anomalies of the liver, by which living donor hepatectomy cannot be feasible or becomes difficult. We have experienced 3 donors with a left‐sided gallbladder out of 642 living donors. The first case was a male donor showing bifurcating portal anomaly with intrahepatic right portal vein confluence and extremely low bifurcation of the bile ducts.

A prospective cross‐over study comparing the effect of mycophenolate versus azathioprine on allograft function and viral load in liver transplant recipients with recurrent chronic HCV infection

Amany Zekry, Margret Gleeson, Seren Guney, Geoffrey W. McCaughan – 6 January 2004 – It has been suggested that Mycophenolate Mofetil (MMF) may have an antiviral effect in patients with recurrent HCV infection post‐liver transplantation. We conducted a prospective cross‐over study in liver transplant recipients with recurrent chronic HCV infection to examine whether substitution of azathioprine (AZA) with MMF would reduce HCV load and improve allograft function. Thirteen long standing HCV liver transplant recipients receiving AZA were enrolled in a 9‐month prospective cross‐over study.

Hepatitis B virus genotype A and D and clinical outcomes of liver transplantation for HBV‐related disease

Raffaele Girlanda, Abdul H Mohsen, Heather Smith, Erwin Sablon, Man‐Fung Yuen, John O'Grady, Paolo Muiesan, Mohamed Rela, Nigel Heaton, Suzanne Norris – 6 January 2004 – Hepatitis B virus (HBV) genotypes have been associated with specific patterns of disease and response to antiviral therapy. We investigated the effect of HBV genotype on HBV recurrence and mortality after liver transplantation (LT). Pretransplant sera of 45 hepatitis B surface antigen (HBsAg) positive adults were submitted for HBV genotyping by a reverse‐phase hybridization line probe assay with genotype‐specific probes.

Incomplete improvement of visuo‐motor deficits in patients with minimal hepatic encephalopathy after liver transplantation

Sergei Mechtcheriakov, Ivo W. Graziadei, Michael Mattedi, Thomas Bodner, André Kugener, Hartmann H. Hinterhuber, Josef Marksteiner, Wolfgang Vogel – 6 January 2004 – Previous studies have suggested reversibility of minimal hepatic encephalopathy in patients with liver cirrhosis after liver transplantation (LT), however, this topic is controversially discussed. We investigated this issue in a prospective study on liver cirrhotic patients listed for LT.

Hepatic arterial anatomy for right liver procurement from living donors

Yoji Kishi, Yasuhiko Sugawara, Junichi Kaneko, Nobuhisa Akamatsu, Hiroshi Imamura, Hirotaka Asato, Norihiro Kokudo, Masatoshi Makuuchi – 6 January 2004 – Living donor liver transplantation (LDLT) using right liver grafts is now widely performed. Anatomic classifications of the hepatic artery for right liver procurement, however, are limited. In this study, celiac and mesenteric angiograms of 223 consecutive living donors in a single institution were evaluated. Details of the arterial anastomosis and results were reviewed in 72 patients who underwent primary LDLT using right liver grafts.

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