Your browser doesn't support javascript.
loading
Liver Failure From Ultra-Short Bowel Syndrome on the Intestinal Transplant Waiting List: A Retrospective Study.
Noguchi, Y; Ueno, T; Matsuura, R; Kodama, T; Deguchi, K; Umeda, S; Yamamichi, T; Nakahata, K; Zenitani, M; Takama, Y; Yamanaka, H; Tazuke, Y; Okuyama, H.
Afiliación
  • Noguchi Y; Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
  • Ueno T; Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan. Electronic address: ueno@pedsurg.med.osaka-u.ac.jp.
  • Matsuura R; Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
  • Kodama T; Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
  • Deguchi K; Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
  • Umeda S; Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
  • Yamamichi T; Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
  • Nakahata K; Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
  • Zenitani M; Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
  • Takama Y; Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
  • Yamanaka H; Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
  • Tazuke Y; Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
  • Okuyama H; Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Transplant Proc ; 49(1): 135-138, 2017.
Article en En | MEDLINE | ID: mdl-28104121
BACKGROUND: Patients with intestinal failure (IF) are candidates for intestinal transplantation (ITx). In Japan, these patients have few opportunities to undergo cadaveric ITx because of low rates of organ donation. The donor criteria and recipient priority for ITx are still unknown. We reviewed our cases of IF to investigate which patients should be prioritized for ITx. METHODS: Patients with IF who were registered as candidates for cadaveric ITx between January 2010 and November 2015 in our institute were included in this retrospective study. Their data were gathered from their charts and analyzed. RESULTS: Five patients were included. Their primary diseases included total colon aganglionosis (n = 1), chronic idiopathic intestinal pseudo-obstruction syndrome (n = 2), superior mesenteric vein embolization (n = 1), and graft loss after ITx (n = 1). Two patients died of liver failure (LF) during the waiting period. The remaining three are now alive and waiting for transplantation. The lengths of the remaining intestine were more than 20 cm in living cases but less than 20 cm in fatal cases. In the fatal cases, they had several episodes of catheter-related blood stream infection, which caused LF and acute renal failure. CONCLUSIONS: We identified two patients with less than 20 cm residual small bowel who died after acute deterioration of liver function. Patients with ultra-short bowel could have a higher risk of LF. Therefore, they should be referred as soon as possible to a specialized hospital where ITx is a choice of treatment for IF.
Asunto(s)
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome del Intestino Corto / Listas de Espera / Fallo Hepático / Intestino Delgado Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Transplant Proc Año: 2017 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome del Intestino Corto / Listas de Espera / Fallo Hepático / Intestino Delgado Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Transplant Proc Año: 2017 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos