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Articles tagged "Liver cirrhosis"

  • 2018 American Transplant Congress

    MELD-Na Score Based Liver Allocation: Hyponatremia is No Longer a Risk Factor for Waitlist Mortality

    S. Nagai,1 L. Chau,1 M. Safwan,1 R. Schilke,1 M. Rizzari,1 K. Collins,1 A. Yoshida,1 M. Abouljoud,1 D. Moonka.2

    1Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI; 2Gastroenterology, Henry Ford Hospital, Detroit, MI.

    Background: Hyponatremia is associated with an increased risk of liver transplant (LT) waitlist mortality. The aim of this study was to compare waitlist outcomes between…
  • 2018 American Transplant Congress

    Contemporary Practice Patterns & Outcomes after Transjugular Intrahepatic Portosystemic Shunt (TIPS) Placement: A Multicenter US Experience of 1,146 Patients

    J. Boike,1 J. Ge,5 M. German,3 N. Jest,2 G. Morelli,2 E. Spengler,3 A. Said,3 A. Lee,3 A. Hristov,3 K. Kolli,4 J. Lai,4 A. Desai,5 S. Junna,5 B. Pokhrel,5 T. Couri,6 S. Paul,6 N. Christian-Miller,7 C. Frenette,7 M. Laurito,8 E. Verna,8 U. Rahim,9 A. Goel,9 A. Das,1 S. Pine,1 D. Gregory,1 L. VanWagner.1

    1Gastro & Hep, Northwestern, Chicago; 2Gastro & Hep, Univ of Florida, Gainesville; 3Gastro & Hep, Univ of Wisconsin, Madison; 4Med, Gastro & Hep, Radiology, UCSF, San Francisco; 5Med, Gastro & Hep, Univ of Arizona, Tucson; 6Med, Gastro & Hep, Univ of Chicago, Chicago; 7Gastro & Hep, Scripps Clinic, La Jolla; 8Gastro & Hep, Columbia, New York; 9Gastro & Hep, Stanford, Palo Alto.

    Background: TIPS is effective for treating complications of portal hypertension. Historic, single center data suggest poor outcomes for MELD scores >15. We assessed contemporary outcomes…
  • 2018 American Transplant Congress

    Advanced Liver Care and Salvage Transplantation Improves Outcomes for Patients with Cirrhosis Requiring Abdominal General Surgical Procedures

    D. Milgrom,1 N. Valsangkar,1 J. Kays,1 T. Liang,1 J. Butler,1 C. Kubal,1 M. Maluccio,1 A. Tector,2 L. Koniaris.1

    1Department of Surgery, Indiana University School of Medicine, Indianapolis, IN; 2Department of Transplant Surgery, University of Alabama School of Medicine, Birmingham, AB.

    Introduction: Historically, abdominal general surgical procedures on cirrhotic patients carry up to an 80% mortality rate. We hypothesized outcomes of cirrhotic patients requiring abdominal surgical…
  • 2018 American Transplant Congress

    Risk Factors of De Novo Malignancies after Liver Transplantation

    M. Altieri,1 O. Seree,2 J. Dumortier,3 GREF2 Groupe de Recherche Français en Greffe de Foie.

    1Service d'HepatoGastroenterologie, Nutrition et Oncologie Digestive, CHU de Caen, Caen, France; 2Réseau Régional de Cancérologie Onco-Basse-Normandie, Herouville Saint-Clair, France; 3Service d'HepatoGastroenterologie, Hospices Civils de Lyon, Hôpital de la Croix Rousse, Lyon, France.

    De novo malignancies after liver transplantation (LT) are one of the leading causes of late mortality, with a reported risk of malignancies twice as high…
  • 2018 American Transplant Congress

    Transplant Trends in Young Adults: Silent Alcohol Epidemic

    N. Kemmer,2 N. Bozanich,1 S. Agrawal,2 C. Albers,2 R. Syed,2 A. Alsina.2

    1Gastroenterology, USF, Tampa; 2Transplant Hepatology, Tampa General Medical Group, Tampa.

    With the introduction of effective antiviral therapy for HCV, there is a paradigm shift in liver disease with a decline in HCV but a parallel…
  • 2018 American Transplant Congress

    Sustained Improvement in Patient Reported Outcomes 10 Years after Liver Transplantation by Protocol Longitudinal Assessment of Health Related Quality of Life

    S. Elwir,1 A. Warren,1 G. Saracino,1 S. Asrani,1 T. Elliott,2 G. Klintmalm.1

    1Baylor University Medical Center, Dallas, TX; 2Department of Educational Psychology, Texas A&M University, College Station, TX.

    Purpose: Data on patient (pt) reported outcomes, especially beyond the first year after liver transplantation (LT) are scarce. We examined changes in health related quality…
  • 2018 American Transplant Congress

    Kidney Transplantation Alone in End-Stage Renal Disease Patients with Hepatitis B Liver Cirrhosis

    M. Jang,1 M. Lee,2 S. Kim.1

    1Division of Nephrology, Department of Internal Medicine, College of Medicine, University of Ulsan, Asan Medical Center, Seoul, Republic of Korea; 2Division of Nephrology, Department of Internal Medicine, Choengju St. Mary's General Hospital, Choengjusi, Republic of Korea.

    BackgroundKidney transplantation (KT) alone in end-stage renal disease (ESRD) patients with hepatitis B virus-induced liver cirrhosis (LC) remains controversial. This study compared outcomes of KT…
  • 2018 American Transplant Congress

    Protein S Deficiency as an Independent Risk Factor for Portal Vein Thrombosis in Cirrhotic Patients Awaiting Liver Transplantation

    H-.C. Hung,1 J-.C. Lee,1 C-.H. Cheng,2 Y-.C. Wang,2 T-.H. Wu,2 C-.F. Lee,2 T-.J. Wu,2 H. Chou,2 K-.M. Chan,2 W-.C. Lee.2

    1Department of General Surgery, Chang-Gung Memorial Hospital, Chang-Gung University College of Medicine, Taoyuan, Taiwan; 2Division of Liver and Transplantation Surgery, Chang-Gung Memorial Hospital, Chang-Gung University College of Medicine, Taoyuan, Taiwan.

    Background: Portal vein thrombosis (PVT) in cirrhotic patients not only induces lethal complications on waiting, but also complicates surgical procedures and increases risk during transplantation.…
  • 2018 American Transplant Congress

    Poverty, End Stage Liver Disease, and Transplantation in Georgia

    R. Lynch,1 K. Ross,1 J. Magliocca,1 D. Goldberg,2 R. Patzer.1

    1Surgery, Emory University, Atlanta, GA; 2Medicine, University of Pennsylvania, Philadelphia, GA.

    Background: Though discussions of equity in liver transplantation remain focused primarily on relative availability of allografts as a measure of access, differences in disease burden…
  • 2018 American Transplant Congress

    Intervention for Splenorenal Shunt May Decrease the Incidence of Post-Liver Transplant Acute Kidney Injury

    J. Wang, A. Nickkholgh, R. Shahbazov, S. Pelletier, D. Maluf.

    Dept. of Surgery, University of Virginia Health System, Charlottesville, VA.

    Background: Splenorenal shunt (SRS) is a type of portosystemic shunt that develops frequently in the setting of chronic portal hypertension and cirrhosis. It remains controversial…
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