دورية أكاديمية
Auxiliary partial liver transplantation for acute liver failure using "high risk" grafts: Case report.
| العنوان: | Auxiliary partial liver transplantation for acute liver failure using "high risk" grafts: Case report. |
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| المؤلفون: | Duan WD; Wei-Dong Duan, Xi-Tao Wang, Hong-Guang Wang, Wen-Bin Ji, Hao Li, Jia-Hong Dong, Department of Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing 100853, China., Wang XT; Wei-Dong Duan, Xi-Tao Wang, Hong-Guang Wang, Wen-Bin Ji, Hao Li, Jia-Hong Dong, Department of Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing 100853, China., Wang HG; Wei-Dong Duan, Xi-Tao Wang, Hong-Guang Wang, Wen-Bin Ji, Hao Li, Jia-Hong Dong, Department of Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing 100853, China., Ji WB; Wei-Dong Duan, Xi-Tao Wang, Hong-Guang Wang, Wen-Bin Ji, Hao Li, Jia-Hong Dong, Department of Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing 100853, China., Li H; Wei-Dong Duan, Xi-Tao Wang, Hong-Guang Wang, Wen-Bin Ji, Hao Li, Jia-Hong Dong, Department of Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing 100853, China., Dong JH; Wei-Dong Duan, Xi-Tao Wang, Hong-Guang Wang, Wen-Bin Ji, Hao Li, Jia-Hong Dong, Department of Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing 100853, China. |
| المصدر: | World journal of gastroenterology [World J Gastroenterol] 2016 Feb 07; Vol. 22 (5), pp. 1919-24. |
| نوع المنشور: | Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Baishideng Publishing Group Country of Publication: United States NLM ID: 100883448 Publication Model: Print Cited Medium: Internet ISSN: 2219-2840 (Electronic) Linking ISSN: 10079327 NLM ISO Abbreviation: World J Gastroenterol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2014- : Pleasanton, CA : Baishideng Publishing Group Original Publication: Beijing : WJG Press, c1998- |
| مواضيع طبية MeSH: | Donor Selection* , Liver Regeneration* , Living Donors*, Chemical and Drug Induced Liver Injury/*surgery , Liver Failure, Acute/*surgery , Liver Transplantation/*methods, Adult ; Biopsy ; Chemical and Drug Induced Liver Injury/diagnosis ; Chemical and Drug Induced Liver Injury/etiology ; Fatty Liver/complications ; Fatty Liver/diagnosis ; Female ; Graft Survival ; Humans ; Immunosuppressive Agents/administration & dosage ; Liver Failure, Acute/chemically induced ; Liver Failure, Acute/diagnosis ; Liver Function Tests ; Liver Transplantation/adverse effects ; Risk Factors ; Time Factors ; Tomography, X-Ray Computed ; Treatment Outcome |
| مستخلص: | Acute liver failure (ALF) is a reversible disorder that is associated with an abrupt loss of hepatic mass, rapidly progressive encephalopathy and devastating complications. Despite its high mortality, an emergency liver transplantation nowadays forms an integral part in ALF management and has substantially improved the outcomes of ALF. Here, we report the case of a 32-year-old female patient who was admitted with grade IV hepatic encephalopathy (coma) following drug-induced ALF. We performed an emergency auxiliary partial orthotopic liver transplantation with a "high risk" graft (liver macrovesicular steatosis approximately 40%) from a living donor. The patient was discharged on postoperative day 57 with normal liver function. Weaning from immunosuppression was achieved 9 mo after transplantation. A follow-up using CT scan showed a remarkable increase in native liver volume and gradual loss of the graft. More than 6 years after the transplantation, the female now has a 4-year-old child and has returned to work full-time without any neurological sequelae. |
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| فهرسة مساهمة: | Keywords: Acute liver failure; Auxiliary partial orthotopic liver transplantation; Fatty liver graft |
| المشرفين على المادة: | 0 (Immunosuppressive Agents) |
| تواريخ الأحداث: | Date Created: 20160209 Date Completed: 20170117 Latest Revision: 20181113 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC4724624 |
| DOI: | 10.3748/wjg.v22.i5.1919 |
| PMID: | 26855552 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2219-2840 |
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| DOI: | 10.3748/wjg.v22.i5.1919 |