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Long-term outcomes after stent insertion in patients with early and late hepatic vein outflow obstruction after living donor liver transplantation
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Type
Academic journal
Author
Kyeong Sik Kim (Sungkyunkwan University School of Medicine) Ji Soo Lee (Sungkyunkwan University School of Medicine) Gyu Sung Choi (Sungkyunkwan University School of Medicine) Choon Hyuck David Kwon (Sungkyunkwan University School of Medicine) Jae-Won Cho (Sungkyunkwan University School of Medicine)
Journal
The Korean Surgical Society Annals of Surgical Treatment and Research Vol.95 No.6 KCI Accredited Journals SCIE
Published
2018.12
Pages
333 - 339 (7page)

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Long-term outcomes after stent insertion in patients with early and late hepatic vein outflow obstruction after living donor liver transplantation
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Abstract· Keywords

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Purpose: The purpose of this study was to describe the long-term effects of stenting in patients with hepatic venous outflow obstruction (HVOO), who underwent living donor liver transplantation (LDLT).
Methods: Between January 2000 and December 2009, 622 adult patients underwent LDLT at our hospital, and of these patients, 21 (3.3%) were diagnosed with HVOO; among these patients, 17 underwent stenting. The patients were divided into early or late groups according to the time of their HVOO diagnoses (cutoff: 60 days after liver transplantation).
Results: The median follow-up period was 54.2 months (range, 0.5–192.4 months). Stent insertion was successful in 8 of 10 patients in the early group and 6 of 7 in the late group. The 5-year primary patency rates were 46% and 20%, respectively. In both groups, patients with recurrent HVOO at the beginning showed kinking confirmed by venography. Patients who carried their stents for more than 3 years maintained long-term patency. There was no significant difference in spleen size between groups; however, when the groups were compared according to whether they maintained patency, spleens tended to be smaller in the patency-maintained group.
Conclusion: Unlike stenosis, if kinking is confirmed on venography, stenting is not feasible in the long term for patients with LDLT.
#Liver transplantation #Hepatic veins #Complications #Stents

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METHODS
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REFERENCES

References (18)

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[학술지(정기간행물)] - Duffy JP / 2010 / Long-term patient outcome and quality of life after liver transplantation : analysis of 20-year survivors / Ann Surg 252 : 652 ~ 661 google schola [학술지(정기간행물)] - Marrero JA / 2018 / Diagnosis, staging, and management of hepatocellular carcinoma: 2018 practice guidance by the American Association for the Study of Liver Diseases / Hepatology 68 : 723 ~ 750 google schola [학술지(정기간행물)] - 김종만 / 2016 / Outcomes for patients with HCV after liver transplantation in Korea: a multicenter study / 대한외과학회지 90 (1) : 36 ~ 42 google schola [학술지(정기간행물)] - Jain A / 2000 / Long-term survival after liver transplantation in 4,000 consecutive patients at a single center / Ann Surg 232 : 490 ~ 500 google schola [학술지(정기간행물)] - Adam R / 2012 / Evolution of indications and results of liver transplantation in Europe. A report from the European Liver Transplant Registry (ELTR) / J Hepatol 57 : 675 ~ 688 google schola

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