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S. Afr. gastroenterol. rev ; 16(3): 5-9, 2018.
Artigo em Inglês | AIM | ID: biblio-1270158

RESUMO

Background & objective: Liver transplantation is an established, effective treatment for acute and chronic end stage liver disease. Donors risk factors should be studied in order not to compromise the procedure of transplantation or to lose candidates for transplantation, the study aims to evaluate the effect of variable donor risk factors on the outcome of Living donor liver Transplantation regarding the morbidity and mortaly .Methods: the current study conducted on 48 patients who underwent living donor liver transplantation for End stage liver disease caused by chronic HCV. Morbidity and mortality were assessed at three and twelve months. Obtained data were studied in correlation with various donor related risk factors, a score designed to collect these risk factors, correlate them with recipient mortality, and graft rejection.Results: high rates of graft rejection and recipient mortality was significantly related to older donor age, donor obesity, donorrecipient gender mismatch, hepatic steatosis, and donor graft recipient weight ratio (GRWR) ≤ 0.8. The designed donor risk score of ≥ 7 was expectedly to associate with poor outcome & recipient mortality.Conclusion: The present study suggested that donor risk score can be a strong predictor of donor related risk factors and its effect on the outcome of Living Donor Liver Transplantation in patients espicially with hepatitis C genotype 4


Assuntos
Transplante de Fígado , Fatores de Risco , Doadores de Tecidos
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