Preventing Small-for-size Syndrome in Living Donor Liver Transplantation: Guidelines From the ILTS-iLDLT-LTSI Consensus Conference.

Fecha de publicación: Fecha Ahead of Print:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Hakeem AR
  • Mathew JS
  • Aunés CV
  • Mazzola A
  • Alconchel F
  • Yoon YI
  • Testa G
  • Selzner N
  • Sarin SK
  • Lee KW
  • Soin A
  • Pomposelli J
  • Menon K
  • Goyal N
  • Kota V
  • Abu-Gazala S
  • Rodriguez-Davalos M
  • Rajalingam R
  • Kapoor D
  • Durand F
  • Kamath P
  • Jothimani D
  • Sudhindran S
  • Vij V
  • Yoshizumi T
  • Egawa H
  • Lerut J
  • Broering D
  • Cattral M
  • Clavien PA
  • Chen CL
  • Shah S
  • Zhu ZJ
  • Ascher N
  • Bhangui P
  • Rammohan A
  • Emond J
  • Rela M

Grupos

Abstract

Small-for-size syndrome (SFSS) is a well-recognized complication following liver transplantation (LT), with up to 20% developing this following living donor LT (LDLT). Preventing SFSS involves consideration of factors before the surgical procedure, including donor and recipient selection, and factors during the surgical procedure, including adequate outflow reconstruction, graft portal inflow modulation, and management of portosystemic shunts. International Liver Transplantation Society, International Living Donor Liver Transplantation Group, and Liver Transplant Society of India Consensus Conference was convened in January 2023 to develop recommendations for the prediction and management of SFSS in LDLT. The format of the conference was based on the Grading of Recommendations, Assessment, Development, and Evaluation system. International experts in this field were allocated to 4 working groups (diagnosis, prevention, anesthesia, and critical care considerations, and management of established SFSS). The working groups prepared evidence-based recommendations to answer-specific questions considering the currently available literature. The working group members, independent panel, and conference attendees served as jury to edit and confirm the final recommendations presented at the end of the conference by each working group separately. This report presents the final statements and evidence-based recommendations provided by working group 2 that can be implemented to prevent SFSS in LDLT patients.

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

Datos de la publicación

ISSN/ISSNe:
0041-1337, 1534-6080

Transplantation  LIPPINCOTT WILLIAMS & WILKINS

Tipo:
Article
Páginas:
2203-2215
PubMed:
37635285
Enlace a otro recurso:
www.scopus.com
Factor de Impacto:
1,407 SCImago
Cuartil:
Q1 SCImago

Citas Recibidas en Web of Science: 26

Citas Recibidas en Scopus: 18

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Keywords

  • MIDDLE HEPATIC VEIN; LEFT LOBE ADULT; SINGLE-CENTER EXPERIENCE; GRAFT INFLOW MODULATION; RECIPIENT WEIGHT RATIO; PORTAL VENOUS-PRESSURE; HEMI-PORTACAVAL SHUNT; LONG-TERM OUTCOMES; BODY-WEIGHT; PORTOSYSTEMIC COLLATERALS

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