Herden, Uta and Grabhorn, Enke and Santer, Rene and Li, Jun and Nadalin, Silvio and Rogiers, Xavier and Scherer, Marcus N. and Braun, Felix and Beime, Jan and Lenhartz, Henning and Muntau, Ania C. and Fischer, Lutz (2019) Surgical Aspects of Liver Transplantation and Domino Liver Transplantation in Maple Syrup Urine Disease: Analysis of 15 Donor-Recipient Pairs. LIVER TRANSPLANTATION, 25 (6). pp. 889-900. ISSN 1527-6465, 1527-6473
Full text not available from this repository. (Request a copy)Abstract
Liver transplantation (LT) has been shown to be a feasible treatment in patients with severe forms of maple syrup urine disease (MSUD). Because of a sufficient extrahepatic enzyme activity in non-MSUD individuals, the organ of MSUD patients can be used as a domino graft. We performed a retrospective data collection of all LTs for MSUD carried out at the University Medical Center Hamburg-Eppendorf (2016-2018). Moreover, data from all consecutive domino LTs of the MSUD grafts either transplanted at our institution or allocated to other transplant centers were analyzed. During the study period, 15 LTs in MSUD patients were performed (12 children, 3 adults; median age, 10.9 years; range, 0.3-26.1 years). Biliary complications occurred in 20%, and 13.3% suffered from bleeding complications. No further surgical problems occurred. At present, all MSUD patients are alive with a well-functioning liver graft and on an unrestricted diet. In total, 14 consecutive domino LTs were performed. No surgical complications requiring intervention occurred. One patient died because of HCC relapse, and all other patients are alive with good liver graft function. In conclusion, the use of MSUD livers as domino grafts is safe and allows application of LT in MSUD patients without net extraction of a liver graft from the limited donor pool.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | CHILDREN; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 08 Apr 2020 05:13 |
| Last Modified: | 08 Apr 2020 05:13 |
| URI: | https://pred.uni-regensburg.de/id/eprint/26964 |
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