Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1382
2
1
gregorian
2003
5
1
17
1
online
1
fulltext
en
LIVING-RELATED LIVER TRANSPLANTATION IN CHILDREN: THE SHIRAZ EXPERIENCE
General
General
Original Research
Original Research
The liver transplantation program was established at Shiraz Nemazee Hospital
in 1993. Shortage of cadaver organ supply due to various social and legal
issues urged us to develop a living-related liver transplantation (LRLT) program.
So far 7 (6 males, 1 female) living-related liver transplantations have been performed
at this center. The mean age of patients was 8.21 years (+/- 4.16), with a
range of 4.5 to 14 years. Live donors (3 mothers, 2 fathers, and 1 brother) with a
mean age of 30.83 years (+/- 4.11) underwent procurement of the left lateral segment
without mortality or any serious morbidity. The native liver disease was
idiopathic cirrhosis (1 case), biliary atresia (3 cases), Budd-Chiari syndrome (1
case), neonatal cirrhosis (l case), and cryptogenic cirrhosis (l case). Allografts
were implanted using piggy-back surgical technique. Baseline immunosuppression
consisted of a triple drug regimen including cyclosporine, mycophenolate
mofetil and steroids. Acute graft rejection was treated with intra-venous bolus of
methyl-prednisolone. Early death occurred in 2 patients due to vascular thrombosis.
Biliary complication was observed in 1 patient. Five patients are alive with a
normal functioning liver. In conclusion, LRLT program is promising in Iran. It
can help to overcome the shortage of organs and minimize the mortality of patients
in the waiting list.
Liver transplantation, Living-related, Children
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http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-168&slc_lang=en&sid=1
SA
MALEK-HOSSEINI
20031947532846003861
20031947532846003861
Yes
From the Organ Transplantation Unit, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
M
LAHSAIE
20031947532846003862
20031947532846003862
No
H
SALAHI
20031947532846003863
20031947532846003863
No
A
BAHADOR
20031947532846003864
20031947532846003864
No
M
HAGHIGHAT
20031947532846003865
20031947532846003865
No
MJ
KAVIANI
20031947532846003866
20031947532846003866
No
MB
KHOSRAVI
20031947532846003867
20031947532846003867
No
M
BORZOIE
20031947532846003868
20031947532846003868
No
M
ARASTEH
20031947532846003869
20031947532846003869
No
MH
BAGHERI
20031947532846003870
20031947532846003870
No
M
FATTAHI
20031947532846003871
20031947532846003871
No
HR
DAVARI
20031947532846003872
20031947532846003872
No
S
NIK-EGHBAL
20031947532846003873
20031947532846003873
No
A
KARBASSI
20031947532846003874
20031947532846003874
No