Cadaveric small bowel/split liver transplantation in a child |
| |
Authors: | E S Xenos F Khan J Nery R Romero J Mocros A Tzakis |
| |
Institution: | (1) Department of Liver/GI Transplantation, University of Miami, Jackson Memorial Hospital, P. O. Box 015189, Miami Fl 33101, USA, US |
| |
Abstract: | Scarcity of size-matched grafts continues to be a major limiting factor for liver and combined liver/intestinal transplants
in the pediatric population. It is reported that 29 % of pediatric patients listed for hepatic transplantation die while waiting
for a donor. The reported mortality of pediatric patients awaiting intestinal transplantation is about 40 %. We report on
a technique of segmental liver and intestinal transplantation in a child. To our knowledge, this is the first report of a
combined split liver-intestinal transplantation. We used a cadaveric donor, but the technique can also be performed with a
live donor. The adult recipient of one segment of the liver was discharged home without complications. The child who received
the combined liver intestinal graft developed intestinal perforation and severe rejection and died. If this technique is applied
successfully, the adverse effects and mortality of a long pretransplant waiting period in pediatric patients may be avoided.
Received: 7 May 1998 Received after revision: 29 September 1998 Accepted: 12 October 1998 |
| |
Keywords: | Split liver transplantation pediatric Small bowel transplantation pediatric |
本文献已被 SpringerLink 等数据库收录! |
|