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  • 1
    ISSN: 1432-2277
    Keywords: Key words Bile acids ; donors ; liver transplantation ; Bile flow ; liver transplantation ; donor ; Liver transplantation ; bile flow ; donor Donor bile flow ; liver transplantation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Many parameters currently used for the pre-transplant assessment of liver allografts, are not reliable enough in predicting the likelihood of early graft dysfunction or non-function. It is generally accepted that bile secretion is a sign of hepatic function post-transplant and that bile flow shows a close linear relationship to the secretion of bile acids (“apparent choleretic activity”). We have studied bile flow, biliary bile acid concentrations and composition and measured apparent choleretic activity from hepatic bile collected with a new technique under controlled conditions at the time of retrieval from 18 donor livers. More than three samples were collected from each of 13 donors and a total of 65 samples of hepatic bile were analysed. Of these, ten showed typical apparent choleretic activity with a positive slope in the regression line analysis (correlation coefficient of 0.9), validating our collection technique.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-2277
    Keywords: Key words Liver transplantation ; child ; diaphragmatic nerve palsy ; Diaphragma ; nerve palsy ; liver transplantation ; Nerve palsy ; diaphragma ; liver transplantation ; Child ; diaphragmatic nerve palsy ; liver transplantation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Diaphragmatic paralysis was identified in four children after liver transplantation. All presented with persistent right upper lobe atelectasis, pleural effusion and recurrent respiratory infections and could not be weaned from mechanical ventilatory support. Fluoroscopy and real-time ultrasound confirmed paradoxical right diaphragmatic movements. Diaphragmatic plication was undertaken and enabled rapid and sustained weaning from respiratory support in all four cases. Vascular clamping of the suprahepatic vena cava seems to be the cause. Diaphragmatic plication allows optimal recruitment of the respiratory muscles with a favourable impact on lung mechanics and gas exchange.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-2277
    Keywords: Key words Liver transplantation ; intestinal perforation ; Intestinal perforation ; liver transplantation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Bowel perforation is a well-recognized complication following orthotopic liver transplantation. Of 194 paediatric liver transplantations performed in our hospital, 13 patients (6.7 %) developed bowel perforation post-transplantation. Contributory factors included previous operation, steroid therapy and viral infection. The incidence was higher in children who underwent transplantation for biliary atresia after a previous Kasai portoenterostomy. Seven patients (53 % of this group) reperforated. Diagnosis may be difficult and a high index of suspicion is needed.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1432-2277
    Keywords: Key words Laparoscopic cholecystectomy ; bile duct injury ; liver transplantation ; Bile duct injury ; laparoscopic cholecystectomy ; liver transplantation ; Liver transplantation ; laparoscopic cholecystectomy ; bile duct injury
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The introduction of laparoscopic cholecystectomy has been associated with a rise in the number of reported bile duct injuries (0.3 %–0.8 %). Significant vascular injuries are rare (0.16 %), but may lead to life-threatening complications. We present a case report of a patient undergoing transplantion for a laparoscopic cholecystectomy injury.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Transplant international 12 (1999), S. 68-70 
    ISSN: 1432-2277
    Keywords: Key words Liver transplantation ; splenic artery aneurysm ; Splenic artery aneurysm ; liver transplantation ; Portal hypertension ; splenic artery aneurysm ; Alpha-1-antitrypsin deficiency ; splenic artery aneurysm
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Splenic artery aneurysms are a rare but potentially fatal complication after liver transplantation. We report three cases presenting in a 12-month period in adult patients who underwent transplantation for chronic liver disease. Doppler ultrasound of the splenic artery should be performed in all patients with cirrhosis and portal hypertension who are being assessed for liver transplantation. The aneurysm can be ligated at the time of transplantation.
    Type of Medium: Electronic Resource
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