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Living Donor Liver Transplantation in a Hepatitis B Patient with Acute on Chronic Liver Failure Accompanying Hepatocellular Carcinoma
- Source :
- The Ewha Medical Journal. 39:76
- Publication Year :
- 2016
- Publisher :
- The Ewha Medical Journal, Ewha Womans University College of Medicine, 2016.
-
Abstract
- Acute clinical deterioration in patients with chronic liver disease is called acute on chronic liver failure (ACLF). Principles of management of ACLF consist of early identifying etiology of liver disease, rapid intervention of precipitating event and discreet intensive cares. Despite medical intensive cares, if liver failure progresses, liver transplantation could be the other option. Also, liver transplantation is the only treatment that offers a chance of cure for hepatocellular carcinoma (HCC) and the underlying liver cirrhosis simultaneously. Emergent living donor liver transplantation (LDLT) can be performed for patients with acute liver failure and improves survival rate, especially in circumstances which liver graft is often not available because of deceased donors are not affordable. Here, we describe a chronic hepatitis B patient who developed ACLF accompanying early HCC. Because he did not improved with medical care, he received emergent LDLT. After LDLT, he showed great improvement without critical complications. (Ewha Med J 2016;39(3):76-80) Received July 29, 2015 Accepted May 18, 2016
- Subjects :
- medicine.medical_specialty
Cirrhosis
business.industry
medicine.medical_treatment
030230 surgery
Liver transplantation
Milan criteria
Hepatitis B
medicine.disease
Chronic liver disease
Gastroenterology
03 medical and health sciences
Liver disease
0302 clinical medicine
Internal medicine
Hepatocellular carcinoma
medicine
030211 gastroenterology & hepatology
business
Survival rate
Subjects
Details
- ISSN :
- 22342591 and 22343180
- Volume :
- 39
- Database :
- OpenAIRE
- Journal :
- The Ewha Medical Journal
- Accession number :
- edsair.doi...........9caf16545d950a2d4800b1ea8ea52359