Living donor liver transplantation for a patient with renal failure

Hideki Ijichi, Mitsuo Shimada, Taketoshi Suehiro, Yuji Soejima, Yoshihiko Maehara, Makoto Nakamuta, Hajime Nawata

Research output: Contribution to journalArticle

Abstract

Pretransplant renal failure is a well-known risk factor which adversely affects the prognosis after liver transplantation. We report a case with pretransplant renal failure and discuss the perioperative management of such patient. The patient was 62 year-old-woman who was diagnosed with end-stage liver disease due to primary biliary cirrhosis, for which living donor liver transplantation (LDLT) was indicated. Her pretransplant serum creatinine was 9.4 mg/dl due to combination of drug-induced (antibiotics) acute tubular necrosis and hepatorenal syndrome. The management of renal failure consisted of the avoidance of calcineurin inhibitor as an induction immunosuppression and the use of perioperative continuous hemodiafiltration (CHDF). The postoperative course of the patient was complicated with CMV pneumonia and acute rejection, however she recovered and discharged on 94 POD with well-preserved graft function and normal renal function without any adverse sequela. LDLT for patients with renal failure can be performed successfully by careful management.

Original languageEnglish
Pages (from-to)266-271
Number of pages6
JournalFukuoka igaku zasshi = Hukuoka acta medica
Volume93
Issue number12
Publication statusPublished - Dec 2002

Fingerprint

Living Donors
Liver Transplantation
Renal Insufficiency
Hepatorenal Syndrome
Hemodiafiltration
End Stage Liver Disease
Biliary Liver Cirrhosis
Drug Combinations
Immunosuppression
Creatinine
Pneumonia
Necrosis
Anti-Bacterial Agents
Transplants
Kidney
Serum

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Ijichi, H., Shimada, M., Suehiro, T., Soejima, Y., Maehara, Y., Nakamuta, M., & Nawata, H. (2002). Living donor liver transplantation for a patient with renal failure. Fukuoka igaku zasshi = Hukuoka acta medica, 93(12), 266-271.

Living donor liver transplantation for a patient with renal failure. / Ijichi, Hideki; Shimada, Mitsuo; Suehiro, Taketoshi; Soejima, Yuji; Maehara, Yoshihiko; Nakamuta, Makoto; Nawata, Hajime.

In: Fukuoka igaku zasshi = Hukuoka acta medica, Vol. 93, No. 12, 12.2002, p. 266-271.

Research output: Contribution to journalArticle

Ijichi, H, Shimada, M, Suehiro, T, Soejima, Y, Maehara, Y, Nakamuta, M & Nawata, H 2002, 'Living donor liver transplantation for a patient with renal failure', Fukuoka igaku zasshi = Hukuoka acta medica, vol. 93, no. 12, pp. 266-271.
Ijichi H, Shimada M, Suehiro T, Soejima Y, Maehara Y, Nakamuta M et al. Living donor liver transplantation for a patient with renal failure. Fukuoka igaku zasshi = Hukuoka acta medica. 2002 Dec;93(12):266-271.
Ijichi, Hideki ; Shimada, Mitsuo ; Suehiro, Taketoshi ; Soejima, Yuji ; Maehara, Yoshihiko ; Nakamuta, Makoto ; Nawata, Hajime. / Living donor liver transplantation for a patient with renal failure. In: Fukuoka igaku zasshi = Hukuoka acta medica. 2002 ; Vol. 93, No. 12. pp. 266-271.
@article{961ad87fcc96464da3da9465f7251371,
title = "Living donor liver transplantation for a patient with renal failure",
abstract = "Pretransplant renal failure is a well-known risk factor which adversely affects the prognosis after liver transplantation. We report a case with pretransplant renal failure and discuss the perioperative management of such patient. The patient was 62 year-old-woman who was diagnosed with end-stage liver disease due to primary biliary cirrhosis, for which living donor liver transplantation (LDLT) was indicated. Her pretransplant serum creatinine was 9.4 mg/dl due to combination of drug-induced (antibiotics) acute tubular necrosis and hepatorenal syndrome. The management of renal failure consisted of the avoidance of calcineurin inhibitor as an induction immunosuppression and the use of perioperative continuous hemodiafiltration (CHDF). The postoperative course of the patient was complicated with CMV pneumonia and acute rejection, however she recovered and discharged on 94 POD with well-preserved graft function and normal renal function without any adverse sequela. LDLT for patients with renal failure can be performed successfully by careful management.",
author = "Hideki Ijichi and Mitsuo Shimada and Taketoshi Suehiro and Yuji Soejima and Yoshihiko Maehara and Makoto Nakamuta and Hajime Nawata",
year = "2002",
month = "12",
language = "English",
volume = "93",
pages = "266--271",
journal = "Fukuoka Acta Medica",
issn = "0016-254X",
publisher = "福岡医学会",
number = "12",

}

TY - JOUR

T1 - Living donor liver transplantation for a patient with renal failure

AU - Ijichi, Hideki

AU - Shimada, Mitsuo

AU - Suehiro, Taketoshi

AU - Soejima, Yuji

AU - Maehara, Yoshihiko

AU - Nakamuta, Makoto

AU - Nawata, Hajime

PY - 2002/12

Y1 - 2002/12

N2 - Pretransplant renal failure is a well-known risk factor which adversely affects the prognosis after liver transplantation. We report a case with pretransplant renal failure and discuss the perioperative management of such patient. The patient was 62 year-old-woman who was diagnosed with end-stage liver disease due to primary biliary cirrhosis, for which living donor liver transplantation (LDLT) was indicated. Her pretransplant serum creatinine was 9.4 mg/dl due to combination of drug-induced (antibiotics) acute tubular necrosis and hepatorenal syndrome. The management of renal failure consisted of the avoidance of calcineurin inhibitor as an induction immunosuppression and the use of perioperative continuous hemodiafiltration (CHDF). The postoperative course of the patient was complicated with CMV pneumonia and acute rejection, however she recovered and discharged on 94 POD with well-preserved graft function and normal renal function without any adverse sequela. LDLT for patients with renal failure can be performed successfully by careful management.

AB - Pretransplant renal failure is a well-known risk factor which adversely affects the prognosis after liver transplantation. We report a case with pretransplant renal failure and discuss the perioperative management of such patient. The patient was 62 year-old-woman who was diagnosed with end-stage liver disease due to primary biliary cirrhosis, for which living donor liver transplantation (LDLT) was indicated. Her pretransplant serum creatinine was 9.4 mg/dl due to combination of drug-induced (antibiotics) acute tubular necrosis and hepatorenal syndrome. The management of renal failure consisted of the avoidance of calcineurin inhibitor as an induction immunosuppression and the use of perioperative continuous hemodiafiltration (CHDF). The postoperative course of the patient was complicated with CMV pneumonia and acute rejection, however she recovered and discharged on 94 POD with well-preserved graft function and normal renal function without any adverse sequela. LDLT for patients with renal failure can be performed successfully by careful management.

UR - http://www.scopus.com/inward/record.url?scp=0038190648&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0038190648&partnerID=8YFLogxK

M3 - Article

C2 - 12632631

AN - SCOPUS:0038190648

VL - 93

SP - 266

EP - 271

JO - Fukuoka Acta Medica

JF - Fukuoka Acta Medica

SN - 0016-254X

IS - 12

ER -