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research
Liver transplantation before 1 year of age
Authors
Ascher
Baburao Koneru
+17 more
Carlos O. Esquivel
Frederick Karrer
Gartner
Gordon
Iwatsuki
Kasai
Leonard Makowka
Robert D. Gordon
Rosenthal
Satoru Todo
Shunzaburo Iwatsuki
Starzl
Starzl
Starzl
Starzl
Thomas E. Starzl
Wallis J. Marsh
Publication date
1 January 1987
Publisher
'Elsevier BV'
Doi
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on
PubMed
Abstract
Since 1981, 20 infants younger than 1 year of age received 26 orthotopic liver transplants. Immunosuppression was with cyclosporine and corticosteroids. Thirteen (65%) of the reciplents were discharged from the hospital. To date, 12 (60%) of the 20 reciplents are surviving, with follow-up of 1 to 56 months (average 14 months). The 5-year acluarial survival is 53.8%. The allograft liver function in the majority of surviving infants is excellent. The predominant causes of mortality were primary nonfunction of the allograft (three patients) and sepsis (three). Major morbidity was caused by hepatic artery thrombosis (five patients), gastrointestinal complications (six), biliary tract complications (five), and bacterial and viral infections (13). Six patients underwent retransplantation; three of these six survived. Results could be improved by prevention of hepatic artery thrombosis, by decreasing the incidence of sepsis, and by procurement of more and better suited pediatric donors. © 1987 The C. V. Mosby Company
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