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  1. 学術雑誌論文
  2. その他
  1. 部局別インデックス
  2. 医学部

Post-transplant inflow modulation for early allograft dysfunction after living donor liver transplantation

http://hdl.handle.net/20.500.12000/47027
http://hdl.handle.net/20.500.12000/47027
03e9c3ff-5c32-49e8-8f4c-c5a3c5a97007
名前 / ファイル ライセンス アクション
Elshawy2020_Article_Post-transplantInflowModulatio.pdf Elshawy2020_Article_Post-transplantInflowModulatio.pdf
Item type デフォルトアイテムタイプ(フル)(1)
公開日 2020-10-20
タイトル
タイトル Post-transplant inflow modulation for early allograft dysfunction after living donor liver transplantation
言語 en
作成者 Elshawy, Mohamed

× Elshawy, Mohamed

en Elshawy, Mohamed

Toshima, Takeo

× Toshima, Takeo

en Toshima, Takeo

Asayama, Yoshiki

× Asayama, Yoshiki

en Asayama, Yoshiki

Kubo, Yuichiro

× Kubo, Yuichiro

en Kubo, Yuichiro

Ikeda, Shinichiro

× Ikeda, Shinichiro

en Ikeda, Shinichiro

Ikegami, Toru

× Ikegami, Toru

en Ikegami, Toru

Arakaki, Shingo

× Arakaki, Shingo

en Arakaki, Shingo

Yoshizumi, Tomoharu

× Yoshizumi, Tomoharu

en Yoshizumi, Tomoharu

Mori, Masaki

× Mori, Masaki

en Mori, Masaki

アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
言語 en
権利情報 Creative Commons Attribution 4.0 right
言語 en
権利情報Resource https://creativecommons.org/licenses/by/4.0/
権利情報 https://creativecommons.org/licenses/by/4.0/
主題
言語 en
主題Scheme Other
主題 Liver transplantation
言語 en
主題Scheme Other
主題 Portal flow
言語 en
主題Scheme Other
主題 Modulation
言語 en
主題Scheme Other
主題 Graft dysfunction
言語 en
主題Scheme Other
主題 Small-for-size syndrome
言語 en
主題Scheme Other
主題 Splenic artery
言語 en
主題Scheme Other
主題 Embolization
内容記述
内容記述タイプ Other
内容記述 Background:To treat small-for-size syndrome (SFSS) after living donor liver transplantation (LDLT), many procedures were described for portal flow modulation before, during, or after transplantation. The selection of the procedure as well as the best timing remains controversial.\nCase presentation:A 43-year-old female with end-stage liver disease underwent LDLT with extended left with caudate lobe graft from her donor who was her 41-year-old brother (graft volume/standard liver volume (GV/SLV), 35.7%; graft to recipient weight ratio (GRWR), 0.67%). During the surgery, splenectomy could not be performed owing to severe peri-splenic adhesions to avoid the ruined bleedings. The splenic artery ligation was not also completely done because it was dorsal to the pancreas and difficult to be approached. Finally, adequate portal vein (PV) inflow was confirmed after portal venous thrombectomy. As having post-transplant optional procedures that are accessible for PV flow modulation, any other procedures for PV modulation during LDLT were not done until the postoperative assessment of the graft function and PV flow for possible postoperative modulation of the portal flow accordingly. Postoperative PV flow kept as high as 30 cm/s. By the end of the 1st week, there was a progressive deterioration of the total bilirubin profile (peak as 19.4 mg/dL) and ascitic fluid amount exceeded 1000 mL/day. Therefore, splenic artery embolization was done effectively and safely on the 10th postoperative day (POD) to reverse early allograft dysfunction as PV flow significantly decreased to keep within 20 cm/s and serum total bilirubin levels gradually declined with decreased amounts of ascites below 500 mL on POD 11 and thereafter. The patient was discharged on POD 28 with good condition.\nConclusions:SFSS can be prevented or reversed by the portal inflow modulation, even by post-transplant procedure. This case emphasizes that keeping accessible angiographic treatment options for PV modulation, such as splenic artery embolization, after LDLT is quite feasible.
内容記述タイプ Other
内容記述 論文
出版者
言語 en
出版者 Springer Nature
言語
言語 eng
資源タイプ
資源タイプ journal article
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
識別子
識別子 http://hdl.handle.net/20.500.12000/47027
識別子タイプ HDL
関連情報
関連識別子
識別子タイプ DOI
関連識別子 https://doi.org/10.1186/s40792-020-00897-8
関連識別子
識別子タイプ DOI
関連識別子 https://doi.org/10.1186/s40792-020-00897-8
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 2198-7793
収録物名
言語 en
収録物名 Surgical Case Reports
書誌情報
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