Treatment of recurrent hepatitis B infection in liver transplant recipients

Norah A. Terrault – 30 December 2003 – 1Therapeutic decisions are guided by a patient's clinical status (severity of disease and presence of comorbidities) and previous drug‐exposure history.2Lamivudine is safe and effective in liver transplant recipients with recurrent hepatitis B virus (HBV) infection caused by wild‐type virus or failure of hepatitis B immunoglobulin therapy.

Management and outcome of major bile duct injuries after laparoscopic cholecystectomy: From therapeutic endoscopy to liver transplantation

Arno Nordin, Leena Halme, Heikki Mäkisalo, Helena Isoniemi, Krister Höckerstedt – 30 December 2003 – Laparoscopic cholecystectomy is associated with a higher rate of bile duct injuries than an open cholecystectomy. The annual incidence of bile duct injuries has remained almost constant and these injuries tend to be more serious, making demands on the method of repair. We wanted to report the management and outcome of major bile duct injuries after laparoscopic cholecystectomy in patients referred to a hepatobiliary and liver transplantation unit.

Nelfinavir, a protease inhibitor, increases sirolimus levels in a liver transplantation patient: A case report

Ashok Kumar B. Jain, Raman Venkataramanan, Jonathan A. Fridell, Mary Gadomski, Leslie M. Shaw, Margaret Ragni, Magdalena Korecka, John Fung – 30 December 2003 – With the increasing success of liver transplantation and the proven effectiveness of highly active retroviral therapy in HIV‐positive patients, liver transplantation has been performed successfully in selected HIV‐positive recipients with CD4 and an HIV viral load response to highly active antiretroviral therapy. In these patients, an interaction between a protease inhibitor (nelfinavir) and tacrolimus has been shown.

Long‐term follow‐up of survival of liver transplant recipients with familial amyloid polyneuropathy (Portuguese type)

Ole B. Suhr, Bo‐Göran Ericzon, Styrbjörn Friman – 30 December 2003 – Portuguese type familial amyloid polyneuropathy is a dominantly inherited neuropathic amyloidosis caused by a mutant transthyretin (TTR). Because TTR is produced mainly by the liver, liver transplantation (LT) abolishes production of the amyloidogenic variant TTR. To date, the procedure appears to halt the progress of the disease. However, long‐term outcome is unknown. The aim of the present study is to evaluate the survival of our initial group of unselected liver transplant recipients with FAP.

Venous hemodynamics in living donor right lobe liver transplantation

Gabriel E. Gondolesi, Sander Florman, Cal Matsumoto, Ruoqing Huang, Thomas M. Fishbein, Patricia A. Sheiner, Myron E. Schwartz, Sukru Emre, Swan Thung, Robert Shapiro, Charles M. Miller – 30 December 2003 – We evaluated the influence of portal and hepatic venous hemodynamics on the immediate and 3‐month postoperative function of living donor right lobe grafts. Portal velocity was measured prospectively by ultrasound in 14 consecutive donor/recipient pairs. Velocity was converted to flow with the Moriyasu formula.

Living donor liver transplantation for giant hepatic hemangioma with Kasabach‐Merritt syndrome with a posterior segment graft

Yuji Kumashiro, Mureo Kasahara, Kazuhiro Nomoto, Masaru Kawai, Katsuya Sasaki, Tetsuya Kiuchi, Koichi Tanaka – 30 December 2003 – We present a case of a giant hepatic hemangioma with Kasabach‐Merritt syndrome, which was cured by living donor liver transplantation. A 48‐year‐old woman complained of abdominal fullness and appetite loss. The laboratory data showed disseminated intravascular coagulation and a morphologic evaluation revealed a giant hepatic hemangioma involving both lobes of the liver.

Safe use of livers from donors with positive hepatitis B core antibody

Cosme Manzarbeitia, David J. Reich, Jorge A. Ortiz, Kenneth D. Rothstein, Victor R. Araya, Santiago J. Munoz – 30 December 2003 – Thirty‐five patients received liver transplants using liver donors who had positive test results for the hepatitis B core antibody (HBcAb). In the same time frame, 195 patients received HBcAb‐negative liver donors. Mean follow up for patients receiving HBcAb‐positive donors was 25 months. All patients receiving HBcAb‐positive donors were monitored for recurrence of hepatitis B (HBV) with HBV DNA assays.

Evidence of differential risk for posttransplantation malignancy based on pretransplantation cause in patients undergoing liver transplantation

Sanjiv Saigal, Suzanne Norris, Paolo Muiesan, Mohamed Rela, Nigel Heaton, John O'Grady – 30 December 2003 – Organ transplant recipients are considered to be at greater risk for developing malignancy because of the prolonged immunosuppression associated with organ grafting. The purpose of this study is to determine risk factors, clinical characteristics, and outcomes of de novo nonlymphoid malignancies after liver transplantation from a large single‐center series.

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