a Record control number 000256180500013

a ISSN 0041-1337

a Original cataloging agency NEU GrandLibrary

a Language code of text/sound track or separate title eng

a Classification number QR46

b Item number .T56 2008

a Personal name Aydin, Ünal.

h Medium Electronic Document

a Title Timing of Roux-en-Y limb reconstruction for pediatric live donor liver transplantation

c Statement of responsibility, etc Unal Aydin, Pinar Yazici, Hasan Yuksekkaya, Cigdem Arikan, Sema Aydogdu, Murat Zeytunlu, Murat Kilic.

a Place of publication, distribution, etc Lippincott Williams & Wilkins,

c Date of publication, distribution, etc 2008.

a Summary, etc Roux-en-Y (R-Y) hepaticojejunostomy is usually accepted as the standard method of choice for biliary reconstruction in pediatric cases though the potential risks for gastrointestinal complications are higher: In this study, we examined gastrointestinal complications in pediatric patients by comparing two different strategies of R-Y reconstruction with respect to the portal clampage time. Methods. Forty-three pediatric recipients who underwent Live Donor Liver Transplantation with R-Y for biliary reconstruction between March 2001 and December 2006 in our transplantation center were divided into two groups regarding the time of dissection and creation of the roux limb. R-Y limb reconstruction was performed before clampage of the portal vein in group A-preclampage group. In group B, because of prolonged catheterization period, R-Y limb was reconstructed after implantation of the graft (Group B-postclampage group). Results. Overall, seven patients (16%) had gastrointestinal bleeding in the postoperative period, all in group B (0/20 vs. 7/23, P<0.01). One of those three cases who were diagnosed after endoscopy and one another were performed surgical treatment. Although remaining three cases had multiple bleeding episodes but no diagnostic findings by endoscopic/colonoscopic interventions, conservative treatment was successful and therefore, plausible R-Y limb bleeding was considered for these cases. The timing of removal of nasogastric tube and postoperative oral intake were also significantly earlier (P<0.01) in Group A than in Group B. Conclusion. In Live Donor Liver Transplantation, if recipient team may have enough time until the donor team got ready for the recovery of the graft, dissection and preparation of the R-Y limb should be performed. This approach can be helpful to avoid gastrointestinal complications due to the reconstruction of the R-Y limb.

a Topical term or geographic name as entry element Immunology

a Topical term or geographic name as entry element Near East University Article

a Topical term or geographic name as entry element Yakın Doğu Üniversitesi Makale

a Topical term or geographic name as entry element Pediatric liver transplantation

a Topical term or geographic name as entry element Pre-clampage Roux limb

a Topical term or geographic name as entry element Postoperative gastrointestinal bleeding

a Topical term or geographic name as entry element Transplantation

g Relationship information MAY 27, 2008, Vol. 85 Issue10, p1431-p1435, 5p.

x International Standard Serial Number 00411337

t Title Transplantation

u Uniform Resource Identifier http://library.neu.edu.tr:2048/login?url=http://dx.doi.org/10.1097/TP.0b013e31816f1b17