Open AccessAn Appraisal of Pediatric Liver Transplantation From Living Relatives Initial Clinical Experiences in 20 Pediatric Liver Transplantations From Living Relatives as Donors
Author(s) -
Kazue Ozawa,
Shinji Üemoto,
Kôichi Tanaka,
Kaoru Kumada,
Yoshio Yamaoka,
Nobuaki Kobayashi,
Takashi Inamoto,
Yasuyuki Sugiyama,
Keiichiro Mori,
Kazuo Honda,
Yasuo Kamiyama,
Hee Jin Kim,
Tetsuya Morimoto,
Akira Tanaka
Publication year - 1992
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-199211000-00004
Subject(s) - medicine , liver transplantation , biliary atresia , transplantation , cholestasis , surgery , cirrhosis , jaundice , abo blood group system , gastroenterology , pediatrics
The authors performed 20 liver transplantations from living related donors between June 1990 and July 1991. The 20 pediatric patients (14 biliary atresia, two Budd-Chiari syndrome, one liver cirrhosis after hepatitis C viral infection (HCV hepatitis), 1 progressive intrahepatic cholestasis, 1 liver cirrhosis, 1 protoporphyria) were transplanted with 11 left lobes, eight left lateral segments, and one right lobe. The choice of donors was restricted to the parents of the recipients. The immunosuppressive treatment consisted of FK 506 and steroids. Seventeen recipients are alive, 15 of whom are well and at home. Two recipients, who underwent emergency transplantation, died of postoperative complications. Another recipient died of accidental asphyxia at 6 months after the transplantation. All 20 donors had uneventful postoperative courses and were able to resume their normal social lives. The arterial ketone body ratio (AKBR) increased to above 1.0 within 2 days after the transplantation in all cases. Relatively mild rejection episodes were encountered in only two cases transplanted with ABO-compatible grafts, and these were treated successfully with steroids and FK 506.