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ID 13701
Eprint ID
13701
FullText URL
Thumnail 110_1.pdf 1.65 MB
Title Alternative
A case of living related liver transplantation for an adult recipient with primary biliary cirrhosis
Author
Yagi, Takahito Kakenhi
Urushihara, Naoto
Oishi, Masahiro
Matsukawa, Hiroyoshi
藤原 俊哉
松野 剛
Mori, Masanobu
Tsuge, Hiromu
Takakura, Norihisa
Tanaka, Noriaki
Higashi, Toshihiro
Tsuji, Takao
Inagaki, Masaru
Kamikawa, Yasuaki
Abstract
A 49-year-old female received a living related liver transplantation from her son. She had a 13-years history of primary biliary cirrhosis (PBC). The preoperative 1-year survival rate and mortality after 6 months were calculated to be 6.5% and 99.3%, respectively. The graft included left bisegments weighing 435g, and was equal to 43% of the calculated standard liver volume. Massive ascites were sustained due to accompanied portal hypertension. On Postoperative day 7, she manifested massive tarry stool by portal-hypertensive colonopathy. The CT scan revealed a right subphrenic abscess on the postoparative day 14. After drainage of the abscess, the serum total billirubin level decreased to the norman range. She was descharged with extracorptreal tube dainage. On the postoperative day 169, she was readmitted due to acute elevation of the serum bilirubin level. Echography revealed selective dilatation of the hepatic bile duct in the segment 2, and suggested the presence of insufficiency of hepatico-jejunostomy in the early postoperative phase. Despite emergent PTCD, jaundice was sustained and responded poorly to steroid pulse therapy. According to tapering of oral prednisolone, the serum bilirubin level gradually decreased and reached a the plateau between 2 and 4mg/dl. The patient is currently completely free from oral steroid therapy and in receiving interventional hepaticoplasty using the YAG laser system. We concluded that living related liver transplantation is an effective transplantational option for adult end-stage liver disease.
Keywords
living related
liver transplantation
primary biliary cirrhosis
adult
Note
原著
Published Date
1998-06-25
Publication Title
岡山医学会雑誌
Publication Title Alternative
Journal of Okayama Medical Association
Volume
volume110
Issue
issue1-6
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
1
End Page
8
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Official Url
https://www.jstage.jst.go.jp/article/joma1947/110/1-6/110_1-6_1/_article/-char/ja/
Related Url
http://www.okayama-u.ac.jp/user/oma/index.html
language
日本語
Copyright Holders
岡山医学会
File Version
publisher
Refereed
True
Eprints Journal Name
joma