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Objective To investigate the anxiety in relatives of liver transplant (LT) recipients and explore its impact factors.Methods The anxiety in 50 relatives of LT recipients who admitted to our hospital from January 2005 to December 2008,was assessed by Self-rating Anxiety Scale (SAS) and compared with that of domestic norm.The impact factors of anxiety in relatives of LT recipients were analyzed by Stepwise logistic regression analysis.Results The scores of anxiety in 50 relatives of LT recipients were (35.1±8.1),which was statistically higher than that of the norm (29.8±10.1,n=1158,P＜0.05).Stepwise logistic regression analysis showed that occupation,monthly per capita income and postoperative complications of the patients were the impact factors of anxiety in relatives; the relatives being administrative staff,physician,teacher and office worker had significantly higher SAS scores than the relatives being private business owner,worker and peasant family (P＜0.10); the relatives with lower per capita income (＜3500 RMB) had obviously higher SAS scores than the relatives with higher per capita income (＞7000 RMB,P＜0.05); the relatives of patients with postoperative complications had significantly higher SAS scores than the relatives of patients without postoperative complications (P＜0.01).Conclusion The level of anxiety in relatives of LT recipients is higher than that of general population,and it may be affected by their per capita income and patient's postoperative complications.
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<p><b>BACKGROUND</b>The use of transanastomotic stents for Roux-en-Y hepatojejunostomy (RYHJ) in liver transplantation (LT) remains controversial. The aim of this retrospective study was to assess the role of transanastomotic stent for RYHJ in LT.</p><p><b>METHODS</b>RYHJ for biliary reconstruction in LT was performed in 52 patients. Twenty-five patients had bile duct reconstruction by RYHJ with transanastomotic stents (S group), while 27 patients underwent the same procedure without transanastomotic stents (non-S group). The two groups were compared in terms of post-LT biliary complications and survival.</p><p><b>RESULTS</b>The incidences of bile leakage, anastomotic stricture, non-anastomotic stricture, biliary sludge/lithiasis and biliary infection were 12% (3/25), 9.5% (2/21), 23.5% (4/17), 11.8% (2/17), and 24% (6/25), respectively in the S group, and 0, 0, 20.0% (5/25), 10.0% (2/20), and 16.7% (4/24), respectively in the non-S group. One and three year survival rates were 48.0% (12/25) and 34.0% (8/23), respectively, in the S group and 57.7% (15/26) and 38.9% (7/18), respectively, in the non-S group. There was no significant difference between the two groups in terms of the incidence of various biliary complications and survival (P > 0.05).</p><p><b>CONCLUSION</b>The routine use of transanastomotic stents is not necessary for RYHJ for biliary reconstruction in LT.</p>