Orthotopic Liver Transplantation in Children: Two-Year Experience with 47 Patients

作者: BJ Zitelli , JJ Malatack , BW Shaw , TE Starzl , Jr Jc Gartner

DOI:

关键词: Chronic liver diseaseHypoplasiaImmunosuppressionLiver diseaseMedicineLiver transplantationSurgeryBiliary atresiaPrednisoneTransplantation

摘要: During a 24-month period (May 1981 to May 1983), 47 pediatric patients (ranging in age from 7 months 18 years) underwent orthotopic liver transplantation using cyclosporine and prednisone. Major indications were biliary atresia/hypoplasia, metabolic disease. Thirty-two of 138 evaluated for the procedure died prior transplantation. Thirty are alive 6 29 later including 7/15 who required retransplantation. Twenty-one 32 at 1 year following initial All 30 survivors clinically well living home; only one has an abnormal bilirubin level. Serious, life-threatening medical surgical complications common during early With exception, deaths major rejection episodes occurred (before 120 days). relieved stigmata chronic disease, many have demonstrated catch-up growth. Liver is effective treatment end-stage

参考文章(19)
B.J. Zitelli, J.J. Malatack, T.E. Starzl, S. Iwatsuki, J.C. Gartner, B.W. Shaw, Orthotopic Liver Transplantation in Children With Hepatic-Based Metabolic Disease. Transplantation proceedings. ,vol. 15, pp. 1284- 1287 ,(1983)
Hanto Dw, Najarian Js, Sakamoto K, Simmons Rl, Purtilo Dt, The Epstein-Barr virus in the pathogenesis of posttransplant lymphoproliferative disorders. Clinical, pathologic, and virologic correlation. Surgery. ,vol. 90, pp. 204- ,(1981)
Lawrence J. Koep, Gerhard P.J. Schröter, Charles G. Halgrimson, Thomas E. Starzl, Kendrick A. Porter, Richard Weil, Liver replacement for pediatric patients. Pediatrics. ,vol. 63, pp. 825- 829 ,(1979)
John R. Lilly, Thomas E. Starzl, Live transplantation in children with biliary atresia and vascular anomalies Journal of Pediatric Surgery. ,vol. 9, pp. 707- 714 ,(1974) , 10.1016/0022-3468(74)90109-2
Thomas E. Starzl, Göran B. G. Klintmalm, Kendrick A. Porter, Shunzaburo Iwatsuki, Gerhard P. J. Schröter, Liver Transplantation with Use of Cyclosporin a and Prednisone New England Journal of Medicine. ,vol. 305, pp. 266- 269 ,(1981) , 10.1056/NEJM198107303050507
Louie G. Linarelli, C. Noel Williams, Melville J. Phillips, Byler's disease: Fatal intrahepatic cholestasis** The Journal of Pediatrics. ,vol. 81, pp. 484- 492 ,(1972) , 10.1016/S0022-3476(72)80174-4
J Jeffrey Malatack, Shunzaburo Iwatsuki, J Carlton Gartner, Thomas Roe, DavidN Finegold, ByersW Shaw, BasilJ Zitelli, ThomasE Starzl, LIVER TRANSPLANTATION FOR TYPE I GLYCOGEN STORAGE DISEASE The Lancet. ,vol. 321, pp. 1073- 1075 ,(1983) , 10.1016/S0140-6736(83)91910-4
Thomas E. Starzl, Shunzaburo Iwatsuki, David H. Van Thiel, J. Carlton Gartner, Basil J. Zitelli, J. Jeffrey Malatack, Robert R. Schade, Byers W. Shaw Jr ., Thomas R. Hakala, J. Thomas Rosenthal, Kendrick A. Porter, Evolution of Liver Transplantation Hepatology. ,vol. 2, pp. 614- 636 ,(2007) , 10.1002/HEP.1840020516
T. E. Starzl, G. Klintmalm, R. Weil, G. P. J. Schröter, L. J. Koep, S. Iwatsuki, K. A. Porter, Liver Transplantation, 1980, With Particular Reference to Cyclosporin-A Transplantation proceedings. ,vol. 13, pp. 281- 285 ,(1981)
Shunzaburo Iwatsuki, Goran B. G. Klintmalm, Thomas E. Starzl, Total hepatectomy and liver replacement (orthotopic liver transplantation) for primary hepatic malignancy World Journal of Surgery. ,vol. 6, pp. 81- 85 ,(1982) , 10.1007/BF01656377