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El. knyga: Pediatric Liver Transplantation: A Clinical Guide

, , (Consultant Paediatric Hepatologist)
  • Formatas: PDF+DRM
  • Išleidimo metai: 13-Nov-2020
  • Leidėjas: Elsevier - Health Sciences Division
  • Kalba: eng
  • ISBN-13: 9780323636728
Kitos knygos pagal šią temą:
  • Formatas: PDF+DRM
  • Išleidimo metai: 13-Nov-2020
  • Leidėjas: Elsevier - Health Sciences Division
  • Kalba: eng
  • ISBN-13: 9780323636728
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Written and edited by global leaders in the field, Pediatric Liver Transplantation: A Clinical Guide covers all aspects of treatment and management regarding this multifaceted procedure and unique patient population. This practical reference offers detailed, focused guidance in a highly templated, easy-to-consult format, covering everything from pre-transplantation preparation to surgical techniques to post-operative complications.
  • Provides an in-depth understanding of all aspects of pediatric liver transplantation, ideal for pediatric hepatologists, pediatric transplant surgeons, and others on the pediatric transplant team.
  • Covers all surgical techniques in detail, including split graft, living related, auxiliary, and domino.?
  • Discusses pediatric liver transplantation consideration for an increasing number of additional metabolic, hematologic and renal conditions; breakthroughs in grafting and stem cell therapy; and techniques and present role of hepatocyte transplantation.
  • Uses a quick-reference templated format; each chapter includes an overview, pathophysiology, conventional management, controversies, and bulleted summary of key take-aways.?
  • Includes state-of-the-art mini-reviews based on updated references and author experience throughout the text.
  • ?Features a full-color design with numerous algorithms, figures, and radiological and histopathological photos.
  • Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Section 1 Evolution of Transplantation Medicine
1 Brief History of Pediatric Liver Transplantation
2(6)
Jean-Bernard Otte
Principal Historical Milestones and Breakthroughs
2(3)
Technical Aspects
2(1)
The Piggyback Technique
2(1)
Portal Vein Reconstruction
2(1)
Biliary Drainage
2(1)
Initiation of Clinical Experience
2(1)
The National Institutes of Health Statement
3(1)
Holistic Pediatric Approach
3(1)
Technical Variants Addressing Shortage of Full-Size Grafts From Pediatric Donors
3(1)
Medical Aspects
4(1)
Indications
4(1)
Immunosuppression
4(1)
Post-transplant Lymphoproliferative Disorder
5(1)
New Challenges
5(1)
Shortage of Post Mortem Organ Donors
5(1)
Liver Preservation
5(1)
Withdrawal of Immunosuppression and Tolerance Induction
5(1)
Long-Term Histologic Deterioration/De Novo Post-Liver Transplantation Autoimmune Hepatitis
5(1)
Historical Milestones
6(1)
References
6(2)
2 What Is Different Between Pediatric and Adult Liver Transplantation?
8(7)
Hector Vilca-Melendez
Giorgina Mieli-Vergani
Introduction
8(1)
Pediatric Hepatology
8(2)
Organ Donation
10(1)
Liver Transplantation Procedure
11(1)
Post-transplantation Care and Complications
11(1)
Immunological Complications
11(1)
Surgical Complications
12(1)
Infectious Complications
12(1)
Outcomes and Quality of Life
12(1)
References
12(3)
Section 2 Setting for PLT
3 Health System Requirements for Pediatric Liver Transplantation
15(8)
Sharad I. Wadhwani
John C. Bucuvalas
Introduction
15(1)
Team
16(1)
Referral and Candidate Selection
16(1)
Waitlist
17(1)
Immediate Pre- and Post-transplant Period
18(1)
Value Chain
18(1)
Value Shop
19(1)
Value Networks
19(1)
Long-Term Follow-Up
19(1)
The Chronic Care Model
19(1)
Barriers to Achieving Ideal Long-Term Outcomes
20(1)
Conclusion/Summary
20(1)
References
21(2)
4 Managing a Scarce Resource in Pediatric Liver Transplantation
23(7)
Voytek Slowik
Evelyn K. Hsu
Simon Horslen
Introduction
23(5)
Maximize Donation
23(2)
Candidate Conversion
25(1)
Patient Selection
26(1)
Allocation
26(1)
Procurement
27(1)
Transplantation and Long-Term Care
28(1)
References
28(2)
5 Indications and Contraindications for Pediatric Liver Transplant
30(11)
James E. Squires
George V. Mazariegos
Introduction
30(1)
Evolution
30(1)
Controversial Indications
31(5)
Relative and Absolute Contraindications
36(1)
Summary
37(1)
References
37(4)
Section 3 Preparation for PLT
6 Preparation for Pediatric Liver Transplant: Medical Aspects
41(14)
Nathalie Marie Rock
Valerie Anne McLin
Introduction
41(1)
Hepatology
42(2)
Nutrition
44(3)
Nutritional Support
44(3)
Overweight
47(1)
Infectious disease
47(1)
Viruses
47(1)
Bacteria
48(1)
Pre-transplant Management
48(1)
Immunization
48(1)
Accelerated Schedule
48(1)
Catch-up
48(1)
Influenza
48(1)
Cardiology
48(1)
Pulmonary
49(1)
Nephrology
49(1)
Kidney Function Assessment
49(1)
Bone Health
50(1)
Endocrinology
50(1)
Neurological
50(1)
Hematology
51(1)
Anemia
51(1)
Pancytopenia
51(1)
Blood Group
51(1)
Coagulation
51(1)
Oncology
51(1)
Other Systems
51(1)
Allergy
51(1)
Dermatology
51(1)
Ophthalmology
51(1)
Dental
51(1)
Gynecology
52(1)
Conclusion
52(1)
References
52(3)
7 Psychological/Social Aspects
55(8)
Saeed Mohammad
Illness Phase
55(1)
Living With Chronic Disease
55(1)
Preparing the Child for Transplant
55(1)
Transplant Phase
56(2)
Referral
56(1)
Psychological Aspects
56(1)
Waidist
57(1)
Financial Stress
57(1)
Living Donor Liver Transplantation
58(1)
Transplantation Education
59(2)
Misconceptions
59(1)
Health Literacy
59(1)
Consent and Assent
60(1)
Decision Making and Information
60(1)
Transplant Choice
60(1)
Transplant Data
60(1)
Conclusion
61(1)
References
62(1)
8 Living Donor Liver Transplantation in Children
63(7)
Roberto Tambucci
Eliano Bonaccorsi-Riani
Raymond Reding
Introduction
63(1)
Living Donor Selection and Workup
63(1)
Presurgical Evaluation of Recipients
64(1)
Surgical Technique
64(4)
Donor
64(1)
Recipient
65(1)
Portal Vein Reconstruction in the Case of Hypoplasia
66(1)
Inferior Vena Cava Replacement
66(1)
Hepatic Vein Anastomosis
67(1)
Portal Vein Anastomosis
67(1)
Hepatic Artery Anastomosis
67(1)
Arterial Reconstruction in the Case of Inadequate Quality of Hepatic Artery
68(1)
Biliary Anastomosis
68(1)
Outcome
68(1)
Donors
68(1)
Recipients
68(1)
Perspectives/Conclusion
69(1)
References
69(1)
9 ABO Incompatibility: Indications and Management
70(10)
Piotr Kaliclnski
Joanna Pawlowska
Introduction
70(1)
Basic Pathophysiology and Pathological Findings
71(1)
Strategies to Overcome ABO Incompatibility in Liver Transplantation
72(1)
Procedures Aimed at B-Cell Depletion
73(1)
Splenectomy
73(1)
Rituximab
73(1)
Basiliximab
73(1)
Procedures Resulting in the Inhibition of Antibody Production: Intravenous Immunoglobulins
73(1)
Procedures Eliminating Anti-A/B Antibodies
74(1)
Plasmapheresis
74(1)
Graft Local Infusion Therapy
74(1)
Portal Vein Infusion Therapy or Hepatic Artery Infusion Therapy, Local Graft Infusion Therapy
74(1)
Perioperative Strategies in ABOi Liver Transplantation
74(2)
Protocols Used in Adults
74(1)
Elective Living Donor Liver Transplantation
74(1)
ABOi Deceased Donor Liver Transplantation or Emergency Living Donor Liver Transplantation in Adults
75(1)
Protocols Used in Pediatric Patients
75(1)
Children Younger Than 2 Years of Age
75(1)
Children Older Than 2 Years of Age
75(1)
Summary
76(1)
References
77(3)
Section 4 Combined Transplant Options
10 Liver and Hematopoietic Stem Cell Transplantation
80(7)
Nedim Hadiic
Liver and Hemopoietic Stem Cell Transplantation for Achieving Immunological Tolerance
81(1)
Liver and Hemopoietic Stem Cell Transplantation for Primary Immune Deficiencies
81(1)
Hematopoietic Stem Cell Transplantation for Aplastic Anemia After Liver Transplantation
82(1)
Controversial Indications for Liver and Hemopoietic Stem Cell Transplantation
83(1)
Hematological Conditions
83(1)
Malignancies
84(1)
Metabolic Indications
84(1)
Hematopoietic Stem Cell Transplantation for Autoimmune Liver Disease
84(1)
References
84(3)
11 Combined Liver and Kidney Transplantation
87(7)
Lars Pape
Eva-Doreen Pfister
Indications
87(1)
Timing of Transplantation
88(2)
Surgical Considerations and Graft Selection
90(1)
Operative and Post-operative Medical Management
90(1)
Immunosuppression
91(1)
Transplantation Surveillance: Monitoring and Management
91(1)
Outcome
91(1)
Summary
92(1)
References
92(2)
12 Combined Transplantation Liver-Heart, Lung, and/or Pancreas
94(7)
Winita Hardikar
Liver-Heart
94(2)
Indication
94(1)
Timing of Transplantation
95(1)
Surgical Considerations and Graft Selection
95(1)
Post-operative Management
96(1)
Immunosuppression
96(1)
Transplant Surveillance: Monitoring and Management
96(1)
Outcomes
96(1)
Liver-Lung
96(1)
Indication
96(1)
Timing of Transplantation
96(1)
Surgical Considerations and Graft Selection
96(1)
Post-operative Management
97(1)
Immunosuppression
97(1)
Transplant Surveillance: Monitoring and Management
97(1)
Outcome
97(1)
Liver-Pancreas
97(2)
Indication
97(1)
Timing of Transplantation
97(1)
Surgical Considerations and Graft Selection
97(1)
Post-operative Management
98(1)
Immunosuppression
98(1)
Transplant Surveillance: Monitoring and Management
98(1)
Outcome
98(1)
References
99(2)
13 Combined Liver and Small Bowel Transplantation
101(9)
Florence Lacaille
Girish Gupte
Introduction
101(1)
Indications
101(1)
Intestinal Failure
101(1)
Causes of Intestinal Failure
102(1)
Complications of Home Parenteral Nutrition Limiting Its Long-Term Performance
102(1)
Timing of Transplantation
102(1)
General Evaluation
102(1)
Kidney Function
103(1)
Infections
103(1)
Anti-Human Leukocyte Antigen Immunization and Immunological Risk
103(1)
Surgical Considerations and Graft Selection
103(2)
General
103(1)
The Small Bowel
103(1)
The Liver
103(1)
Multivisceral Transplantation
103(2)
Transplantation of the Right Colon
105(1)
Post-operative Management
105(1)
Feeding
105(1)
Immunosuppression
105(1)
Other Treatments
105(1)
Intestinal Transplantation Surveillance: Monitoring and Management
105(1)
Rejection
105(1)
Infections
105(1)
Graft-Versus-Host Disease
106(1)
Surgical Complications
106(1)
Renal Complications
106(1)
Results, Follow-Up, and Quality of Life
106(1)
Survival ()
106(1)
Graft Function and Growth
106(1)
Quality of Life
106(1)
Conclusion
106(2)
References
108(2)
Section 5 Operation
14 The Transplant Procedure: Surgical Aspects and Techniques
110(11)
Mohamed Rela
Ashwin Rammohan
Introduction
110(1)
Historical Background
110(1)
Pediatric Liver Transplantation: Graft Types
111(2)
Whole Liver Transplantation
111(1)
Reduced Size Liver Transplantation
111(1)
Split Liver Transplantation
111(1)
Living Donor Liver Transplantation
111(1)
Auxiliary Liver Transplantation
111(1)
Domino Liver Transplantation and the Emerging Concepts of Domino Auxiliary Partial Orthotopic Liver Transplantation and Cross-Domino Auxiliary Partial Orthotopic Liver Transplantation
112(1)
ABO-Incompatible Liver Transplantation
113(1)
Operative Considerations
113(5)
Recipient Hepatectomy
113(1)
Size Discrepancy
114(1)
Hepatic Vein Anastomosis
114(1)
Portal Vein Anastomosis
114(1)
Hepatic Artery Anastomosis
114(1)
Biliary Anastomosis
115(1)
Abdominal Closure
115(1)
Technical Refinements in Auxiliary Partial Orthotopic Liver Transplantation
116(1)
Space for Graft
116(1)
Implantation
116(1)
Overcoming Portal Steal and Graft Atrophy
116(2)
Managing Size Mismatch in Arterial Anastomosis
118(1)
Managing Surgical Complications
118(1)
Early Post-operative Period
118(1)
Vascular Complications
118(1)
Biliary Complications
119(1)
Enteric Complications and Reoperation
119(1)
Conclusion
119(1)
References
119(2)
15 Anesthetic Aspects
121(10)
Anish Gupta
James Gill
Introduction
121(1)
Anesthesia Assessment for Potential Transplant Candidates
121(3)
Hepatic Syndromes
122(1)
Cardiac Disease
122(1)
Respiratory Disease
123(1)
Renal Disease
123(1)
Neurological Disease
123(1)
Too Sick to Transplant?
123(1)
Standard Anesthesia Technique
124(4)
Set up and Equipment
124(1)
Surgical Stages and Predictable Consequences for the Anesthetist
125(1)
Dissection
125(1)
Anhepattc
125(1)
Reperfusion
125(1)
Biliary Anastomosis and Closure
125(1)
Factors Influencing Anesthesia
125(1)
Cirrhosis and Absent Inferior Vena Cava in Biliary Atresia With Splenic Malformation Compared With Metabolic Disorders
125(1)
Coagulation in Liver Disease and Fluid Replacement During Transplantation
126(1)
Hepatopulmonary Syndrome
126(2)
Portopulmonary Syndrome
128(1)
Targets for Post-operative Intensive Care Unit Transfer
128(1)
Special Cases
128(2)
Intercurrent Illness on the day of Transplant
128(1)
Acute Liver Failure
128(1)
Retransplantation
128(1)
Extracorporeal Membrane Oxygenation
128(1)
Combined Liver-Kidney Transplantation
129(1)
Small Bowel, Small Bowel-Liver, and Multivisceral Transplantation
129(1)
Combined Liver-Lung and Liver-Heart-Lung Transplantation
129(1)
Conclusion
130(1)
References
130(1)
16 Post-Operative Care After Liver Transplantation
131(8)
Vladimir Cousin
Jordi Miatello
Pierre Tissieres
Introduction
131(1)
Post-Operative Monitoring and General Management
131(2)
Hemodynamic Management
131(1)
Respiratory Management
132(1)
Surgical Management
133(1)
Liven-Specific Management
133(1)
Renal/Metabolic Management
133(1)
Infection
133(1)
Post-Operative Analgesia
133(1)
Primary Non-Function of the Graft
134(1)
Abdominal Compartment Syndrome
135(1)
Post-Operative Vasoplegia
135(1)
Post-Operative Bacterial Sepsis and Septic Shock
135(1)
References
136(3)
Section 6 Medical Management
17 Types of Rejection
139(18)
Suzanne V. McDiarmid
Immunological Mechanisms of Rejection
139(2)
The Liver as a "Privileged" Organ
141(1)
Immunoresponsiveness of Children
141(1)
Principles of the Diagnosis of Rejection
142(1)
Acute Cell-Mediated Rejection
142(2)
Pathology of Acute Cell-Mediated Rejection
143(1)
Treatment of Acute Cell-Mediated Rejection
144(1)
Chronic Rejection
144(2)
Pathology of Chronic Rejection
144(2)
Treatment of Chronic Rejection
146(1)
Antibody-Mediated Rejection
146(5)
Acute Antibody-Mediated Rejection
147(1)
Pathology of Acute and Chronic Antibody-Mediated Rejection
148(2)
Treatment of Acute Antibody-Mediated Rejection
150(1)
Donor-Specific Antibodies Affecting Long-Term Outcome
151(1)
Monitoring for Donor-Specific Antibodies: Pre-Transplantation and Post-Transplantation
152(1)
Conclusion
153(1)
References
153(4)
18 Anti-rejection Strategies
157(7)
Francoise Smets
Introduction
157(1)
Induction of Anti-rejection
157(1)
Calcineurin Inhibitors
157(3)
Corticosteroids
160(1)
Other Drugs and Renal Sparing
160(1)
ABO-lncompatible Donor
161(1)
Retransplantation and Tailor-Made Approaches
161(1)
Steroid-Resistant Rejection
161(1)
New Strategies and the Future
161(1)
References
162(2)
19 Anti-infection Strategies
164(17)
Arnaud G. L'Huilller
Klara M. Posfay-Barbe
Anti-infection Strategies
164(1)
Viruses
164(8)
1 Influenza
164(1)
1A Anti-influenza Medications
164(1)
1B Influenza Prevention and Treatment
165(1)
Respiratory Viruses Other Than Influenza
166(1)
2A Antivirals
166(1)
2B Prevention and Treatment
166(1)
3 Herpesviruses
166(1)
3A Antivirals
166(3)
3B Prevention and Treatment
169(3)
Other Viruses
172(1)
Adenovirus
172(1)
Bacteria
172(2)
Timeline of Infections
172(1)
Multidrug-Resistant Bacteria
173(1)
Methicillin-Resistant S. Aureus
173(1)
Vancomycin-Resistant Enterococci
173(1)
Extended-Spectrum B-Lactamase
173(1)
Carbapenem-resistant bacteria
174(1)
Fungi
174(1)
Pneumocystis Jirovecii
174(1)
Candida Spp
174(1)
Aspergillus Spp
175(1)
Other Molds, Dimorphics, and Fungi
175(1)
Conclusion
175(1)
References
176(5)
Section 7 Early Postoperative Complications
20 Early Vascular Complications
181(11)
Ana M. Calinescu
Barbara E. Wildhaber
General Considerations
181(1)
Early Hepatic Artery Complications
182(4)
Early Hepatic Artery Thrombosis
182(1)
Risk Factors for Early Hepatic Artery Thrombosis
182(2)
Consequences and Management of Early Hepatic Artery Thrombosis
184(1)
Early Hepatic Artery Stenosis
185(1)
Risk Factors for Early Hepatic Artery Stenosis
185(1)
Consequences and Management of Early Hepatic Artery Stenosis
185(1)
Hepatic Artery Pseudo-aneurysm
186(1)
Hepatic Artery Steal Syndrome
186(1)
Early Portal Vein Complications
186(2)
Early Portal Vein Thrombosis
186(1)
Risk Factors for Early Portal Vein Thrombosis
186(1)
Consequences and Management of Early Portal Vein Thrombosis
186(2)
Portal Vein Stenosis
188(1)
Early Hepatic Vein Complications
188(1)
Early Hepatic Vein Thrombosis
188(1)
Early Hepatic Vein Stenosis
188(1)
Anti-coagulation in Pediatric Liver Transplantation
188(1)
Hemorrhage
188(1)
Conclusions
189(1)
References
189(3)
21 Biliary Complications in Pediatric Liver Transplantation
192(8)
Michele Colledan
Mara Giovanelli
Introduction
192(1)
Risk Factors
192(1)
Clinical Presentation and Diagnosis
193(3)
Biliary Leaks
193(1)
Anastomotic Strictures
194(2)
Non-anastomotic Strictures
196(1)
Missing or Excluded duct
196(1)
Treatment
196(2)
References
198(2)
22 General Aspects of Early Management
200(14)
Lorenzo D'Antiga
Introduction
200(1)
The Clavien-Dindo Classification
200(1)
Drain Losses After Liver Transplantation
200(4)
Small-for-size Syndrome
204(1)
Large-for-size Syndrome
205(1)
Liver Transplantation in Neonates and Small Infants
205(1)
Delayed Abdominal Closure and Reduced-Size Grafts
205(1)
Calcineurin Inhibitor Metabolism
206(1)
Transplant-Acquired Disease
207(4)
Cytomegalovirus
209(1)
Epstein-Barr Virus
209(2)
Conclusion
211(1)
References
211(3)
23 Hematologic Complications After Liver Transplant
214(9)
Yaron Avitzur
Daniela Gattini
Introduction
214(1)
Early Anemia
214(4)
Passenger Lymphocyte Syndrome
218(1)
Aplastic Anemia
218(1)
Autoimmune Cytopenias
219(1)
Hemophagocytic Lymphohistiocytosis
220(1)
Summary
220(1)
References
221(2)
24 Role of Histology Following Pediatric Liver Transplantation
223(11)
Rachel Mary Brown
Stefan G. Hubscher
Introduction
223(1)
Practical Considerations
223(1)
Histopathology of the Recipient Liver
223(1)
Post-Reperfusion Biopsies
224(1)
Technical Complications
224(2)
Small-for-Size Syndrome
224(1)
Preservation/Re-Perfusion Injury
224(1)
Primary Non-Function
225(1)
Vascular Complications
225(1)
Biliary Complications
226(1)
Immunological Complications
226(3)
Rejection
226(1)
T-Cell-Mediated Rejection
226(2)
Antibody-Mediated Rejection
228(1)
Plasma Cell-Rich Rejection
229(1)
Complications of Immunosuppression
229(1)
Infection
229(1)
Post-Transplant Lymphoproliferative Disorder
229(1)
Late-Allograft Biopsies
230(1)
References
231(3)
Section 8 Late Postoperative Complications
25 Surgical Complications
234(13)
Jean de Ville de Goyet
Fabrlzlo di Francesco
Introduction
234(1)
Late Vascular Problems
234(6)
Inferior Vena Cava
234(1)
Hepatic Veins
235(1)
Hepatic Artery
236(1)
Hepatic Artery Stricture
236(1)
Hepatic Artery Late Thrombosis
236(1)
Portal Vein
237(1)
Portal Vein Stricture
237(1)
Portal Vein Thrombosis
238(2)
Unusual Causes of Surgical Abdominal Problems After a Transplantation
240(1)
Internal Hernia and a Volvulus of the Bowel
240(1)
Along the Roux-en-Y
240(1)
Right-Sided Diaphragmatic Hernia
240(1)
Abdominal Tumors
240(1)
Graft Remodeling
241(2)
References
243(2)
Suggested Reading
245(2)
26 Recurrence of Disease After Liver Transplantation
247(8)
Henkjan J. Verkade
Hubert P.J. van der Doef
Autoimmune Liver Disease
247(2)
Epidemiology
247(1)
Diagnosis of Recurrence
248(1)
Risk Factors for Recurrence
248(1)
Treatment
248(1)
Prognosis
249(1)
Progressive Familial Intrahepatic Cholestasis Type 2
249(3)
Epidemiology
249(1)
Diagnosis of Recurrence
249(1)
Risk Factors for Recurrence
250(1)
Treatment
251(1)
Prognosis
251(1)
Post-transplantation Complications of Specific Rare Conditions
252(1)
Langerhans Cell Histiocytosis
252(1)
Giant Cell Coombs-Positive Hepatitis of Infancy
252(1)
Progressive Familial Intrahepatic Cholestasis Type 1
252(1)
References
252(3)
27 Immunological and Other Late Complications
255(10)
Dominique Debray
Immune-Mediated Disorders
255(3)
Autoimmunity or Alloimmunity
255(1)
Clinical Relevance of Serum Non-organ-specific Autoantibodies and de novo Autoimmune Hepatitis
255(1)
Clinical Significance of Serum Anti-Human Leukocyte Antigen Donor-Specific Antibodies and Antibody-Mediated Rejection
256(1)
Post-transplant Allergy
257(1)
De novo Food Allergy
257(1)
Post-transplant Immune Cytopenias
258(1)
Nonimmune-Mediated Complications of Chronic Immunosuppression
258(3)
Chronic Kidney Disease
258(1)
Pancreatic Complications
259(1)
Acute Pancreatitis
259(1)
Diabetes Mellitus
260(1)
Cardiovascular Morbidity
260(1)
Late Infectious Complications
260(1)
Preventable Viral Infections and Vaccination
261(1)
Chronic Hepatitis E Virus Infection
261(1)
References
261(4)
28 Post-transplant Lymphoproliferative Disease
265(12)
Britta Maecker-Kolhoff
Kais Hussein
Stephen Gottschalk
Introduction
265(1)
Pathogenesis
265(2)
Epstein-Barr Virus Infection
265(1)
Epstein-Barr Virus-Driven B-Cell Proliferation
266(1)
Impaired Control of Epstein-Barr Virus-Induced B-Cell Proliferation by Epstein-Barr Virus-Specific T Cells
266(1)
Genetic Hits and Additional Factors
266(1)
Origin of Post-transplant Lymphoproliferative Disease
267(1)
Early and Late Post-transplant Lymphoproliferative Disease Development
267(1)
Histopathological Classification
267(2)
Incidence and Risk Factors in Pediatric Liver Transplantation
269(1)
Incidence of Post-transplant Lymphoproliferative Disease
269(1)
Risk Factors
269(1)
Immunosuppression
269(1)
Human Leukocyte Antigen Association
269(1)
Other Risk Factors
269(1)
Diagnosis
269(2)
Clinical Symptoms
269(1)
Biopsy and Histology
269(1)
Imaging and Staging
270(1)
Laboratory Examination
270(1)
Treatment
271(1)
Reduction of Immunosuppression
271(1)
Immunotherapy and Chemotherapy of B-cell Post-transplant Lymphoproliferative Diseases
271(1)
Rare Post-transplant Lymphoproliferative Disease Subtypes
272(1)
Cellular Epstein-Barr Virus-Directed Therapy
272(1)
Antiviral Therapy
272(1)
Prognosis
272(1)
Potential Complications and Long-Term Care
272(1)
Prevention and Early Detection of Post-transplant Lymphoproliferative Disease
272(1)
Antiviral Prophylaxis
272(1)
Screening Parameters
272(1)
Special Considerations
273(1)
References
273(4)
29 Role of Radiology and Interventional Radiology After Pediatric Liver Transplantation
277(16)
Stephanie Franchi-Abella
Diagnosis of Complications: Role of Imaging Modalities
277(6)
Systematic Follow-up
277(1)
Biliary Complications
277(3)
Vascular Complications
280(1)
Hepatic Artery
280(2)
Portal Vein
282(1)
Hepatic Vein and Inferior Vena Cava
282(1)
Steatosis
282(1)
Tumors
283(1)
Interventional Radiology for Diagnosis, Treatment, and Outcome
283(7)
Image-Guided Biopsies (Percutaneous and Transjugular)
283(2)
Percutaneous Treatment of Biliary Complications
285(1)
Biliary Leaks
285(1)
Biliary Strictures
285(1)
Endovascular Treatment of Vascular Complications (Angiography)
286(1)
Hepatic Artery Complications
287(1)
Portal Vein Complications
287(2)
Hepatic Vein and Inferior Vena Cava Complications
289(1)
Transjugular Intrahepatic Portosystemic Shunt
290(1)
Conclusion
290(1)
References
291(2)
30 Role of Biomarkers in Monitoring Liver Allograft Function
293(8)
Imeke Goldschmidt
Ulrich Baumann
Introduction
293(1)
Graft Fibrosis
293(1)
Serological Markers
294(2)
Hyaluronic Acid
294(1)
Enhanced Liver Fibrosis Score
294(1)
FibroSure Test
295(1)
Fibrosis Score 4
295(1)
Aspartate Aminotransferase Platelet Ratio Index
295(1)
Imaging Techniques
296(2)
Transient Elastography by FibroScan
296(1)
Acoustic Radiation Force Imaging
296(1)
Magnetic Resonance Imaging Elastography and Magnetic Resonance Diffusion-Weighted Imaging
297(1)
References
298(3)
Section 9 Complementary Clinical Options to PLT
31 Liver Assist Systems in Pediatric Liver Failure
301(8)
Anil Dhawan
Vandana Jain
Introduction
301(1)
Indications for an Extracorporeal Liver Support System
301(1)
Artificial Liver Support
302(2)
Types of Artificial Liver Support
302(1)
Albumin Dialysis
302(1)
Plasmapheresis
302(1)
Efficacy of Albumin Dialysis on Laboratory and Clinical Outcomes
302(1)
Biochemistry
302(2)
Hepatic Encephalopathy
304(1)
Hemodynamics
304(1)
Efficacy of Albumin Dialysis on Laboratory Parameters and Survival Outcomes
304(1)
Safety of Albumin Dialysis
304(1)
Efficacy of Albumin Dialysis in Pediatrics
304(2)
Efficacy of Plasmapheresis--Adult and Pediatric Data
306(1)
Bioartificial Liver Support
306(1)
References
307(2)
32 Cell Transplantation
309(11)
Catherine Lombard
Tanguy Demaret
Etienne Sokal
Introduction
309(1)
Hepatocyte Transplantation
309(4)
Clinical Application
309(1)
Material Source
309(3)
Hepatocyte Isolation
312(1)
Quality Control
312(1)
Dose and Route of Administration
312(1)
Engraftment Evaluation and Enhancement
312(1)
Immunosuppression
313(1)
How to Overcome Hepatocyte Transplantation Barriers
313(1)
Stem and Progenitor Cell-Based Cell Transplantation
313(2)
Stem and Progenitor Cells and Their Regenerative Potential
313(2)
Stem Cell-Based Therapy for Acquired Liver Diseases--Mesenchymal Stromal Cells as Medicinal Signaling Cells
315(1)
Remaining Challenges and Conclusion
315(1)
References
316(4)
33 Gene Therapy
320(24)
Federico Mingozzi
Norman Junge
Introduction
320(1)
Why Gene Therapy? What Is the Advantage Compared With Liver Transplantation? Pros and Cons for Liver Transplantation and Gene Therapy
320(1)
The Clinical Experience With Liver Gene Transfer
321(2)
Delivery Tools (Vectors) With Advantages and Disadvantages for Each
323(1)
Advantages and Disadvantages of Different Gene Therapy Approaches (Gene Repair, Gene Addition, Gene Editing, Homologous Recombination, Nucleases, Promotorless)
324(1)
Disease-Specific Aspects and Milestones
324(8)
Crigler-Najjar Syndrome
324(3)
Glycogen Storage Disease Type 1
327(2)
Primary Hyperoxaluria
329(1)
Progressive Familial Intrahepatic Cholestasis
330(1)
Alpha-1-Antitrypsin Deficiency
330(1)
Ornithine Transcarbamylase Deficiency
330(1)
Tyrosinemia Type 1
331(1)
Wilson Disease
331(1)
Current Challenges of In Vivo Gene Transfer With Adeno-Associated Virus Vectors
332(6)
Immunogenicity of Adeno-Associated Virus Vectors
332(1)
T-Cell-Mediated Immunity to Adeno-Associated Virus Vectors
332(3)
Humoral Immunity to Adeno-Associated Virus Vectors
335(1)
Transgene Immunogenicity
335(1)
Genotoxicity
335(1)
Adeno-Associated Virus Persistence in the Developing Liver
336(2)
Conclusions
338(1)
References
338(6)
Section 10 Chronic Management in Specific Indications
34 Biliary Atresia
344(7)
Jane Hartley
Deirdre Kelly
Introduction
344(1)
Kasai Portoenterostomy
344(1)
Liver Transplantation
345(2)
Indications
345(1)
Primary Transplantation
345(1)
Unsuccessful Kasai Procedure
345(1)
Recurrent Life-Threatening Cholangitis
346(1)
Failure to Thrive
346(1)
Portal Hypertension
346(1)
Pruritus
346(1)
Hepatopulmonary Syndrome
346(1)
Malignancy
346(1)
Portopulmonary Syndrome
346(1)
Hepatorenal Syndrome
346(1)
Cardiomyopathy
347(1)
Considerations While Awaiting Liver Transplantation
347(1)
Nutrition
347(1)
Cholangitis
347(1)
Immunizations
347(1)
Technical Considerations for Transplantation in Biliary Atresia
347(1)
Long-Term Biliary Atresia Care
348(1)
Controversial Topics
348(1)
Future Considerations
349(1)
References
349(2)
35 Alagille Syndrome
351(7)
Shannon M. Vandriel
Binita M. Kamath
Introduction
351(1)
Growth and Nutrition
351(2)
Cardiac Involvement
353(1)
Renal Involvement
353(1)
Vascular Involvement
353(1)
Bleeding Risk
354(1)
Living Related Transplantation
355(1)
Liver Transplantation Outcomes
355(1)
Conclusion
356(1)
References
356(2)
36 Liver Transplantation for Acute Liver Failure in Children
358(7)
Jae Sung Ko
Etiology of Pediatric Acute Liver Failure
358(1)
Diagnostic Procedures Necessary to Prepare for Liver Transplantation
358(1)
General Management Awaiting Liver Transplantation
359(1)
Disease-Specific Treatment
360(1)
Liver Support Devices
360(1)
Indication and Timing for Liver Transplantation
360(1)
Selection of Donors
361(1)
Contraindication to Liver Transplantation
362(1)
References
362(3)
37 Auxiliary Liver Transplantation for Acute Liver Failure in Children
365(10)
Annalisa Dolcet
Nigel Heaton
Introduction
365(1)
Current Guide to Listing Criteria for Liver Transplant in Acute Liver Failure in Children
365(1)
Indications
366(1)
Contraindications
366(1)
Relative Contraindications
366(1)
Liver Regeneration
366(1)
Auxiliary Partial Orthotopic Liver Transplant
367(1)
History of Auxiliary Liver Transplantation
367(1)
Heterotopic Auxiliary Transplantation for Acute Liver Failure
367(1)
Auxiliary Liver Transplantation for Acute Liver Failure: Early Results
367(1)
Patient Selection
368(1)
Recipient Selection
369(1)
Donor Selection
369(1)
Implantation Techniques
369(1)
Portal Flow Changes After Auxiliary Partial Orthotopic Liver Transplantation for Acute Liver Failure
370(1)
Post-operative Management
370(2)
Complications
372(1)
Auxiliary Liver Transplantation for Acute Liver Failure: Later Results
372(1)
King's College Hospital Auxiliary Liver Transplantation for Acute Liver Failure Outcomes
372(1)
Conclusions
373(1)
References
373(2)
38 Liver Transplantation for Liver Tumors in Children
375(11)
David A. Hobin
Khalid Sharif
Introduction
375(1)
Hepatoblastoma
375(4)
Epidemiology and Genetics
375(1)
Treatment
376(2)
Other Treatment Considerations
378(1)
Hepatocellular Carcinoma
379(2)
Epidemiology and Genetics
379(1)
Treatment
380(1)
Role of Liver Transplantation in The Management of Hepatocellular Carcinoma
381(1)
Sarcomas
381(1)
Undifferentiated Embryonal Sarcoma
381(1)
Role of Liver Transplantation
382(1)
Vascular Tumors
382(1)
Liver Hemangiomas
382(1)
Histiocytic Disorders
382(1)
Multisystem Langerhans Cell Histiocytosis
382(1)
References
383(3)
39 Metabolic Conditions
386(11)
Patrick McKiernan
James E. Squires
Category 1 Intrinsic Liver Disease With Defect Confined to the Liver
386(2)
Progressive Familial Intrahepatic Cholestasis Type 2
387(1)
Tyrosinemia Type 1
387(1)
Category 2 Intrinsic Liver Disease With an Extrahepatic Defect
388(2)
Cystic Fibrosis-Related Liver Disease
388(1)
Mitochondrial Liver Diseases
389(1)
Progressive Familial Intrahepatic Cholestasis Type 1
389(1)
Glycogen Storage Disease Type I
390(1)
Category 3 No Intrinsic Liver Disease With Defect Confined to Liver
390(1)
Urea Cycle Disorders
390(1)
Primary Hyperoxaluria Type 1
391(1)
Category 4 No Liver Disease and Extrahepatic Defect
391(1)
Organic Acidemias
391(1)
S-Adenosylhomocysteine Hydrolase Deficiency
391(1)
Mitochondrial Disease With a Specific Enzyme Defect
392(1)
Ethylmalonic Encephalopathy
392(1)
Mitochondrial Neurogastrointestinal Encephalomyopathy
393(1)
Domino Transplantation
393(1)
Living Donor Liver Transplantation
393(1)
Auxiliary Liver Transplantation
394(1)
References
394(3)
40 Liver Retransplantation
397(8)
Sebastian Schulz-Jurgensen
Ulrich Baumann
Incidence and Indications--Early and Late Liver Retransplantation
397(1)
Contraindications for Pediatric Liver Retransplantation
398(1)
Case 1 Decision Against Further Transplantations Because of Antibody Formation
398(1)
Case 2 Several Retransplantations After Repeated Early Hepatic Artery Thrombosis
398(1)
Further Considerations
399(4)
Timing for Relisting Patients With Graft Failure
399(1)
Deceased Donor Versus Living Related Retransplantation
399(2)
Immunization, Immunosuppression, and Infection
401(1)
Outcome of Liver Retransplantation
401(1)
Ethical Considerations
402(1)
References
403(2)
41 Pediatric Liver Transplantation in Asia
405(9)
Mureo Kasahara
Introduction
405(2)
Liver Transplantation in Japan
407(1)
Organ Allocation System in Japan
407(1)
Pediatric Liver Transplantation in Japan
407(1)
Pediatric Liver Transplantation in Other Asian Countries
408(2)
Taiwan
408(1)
South Korea
408(1)
Mainland China
409(1)
Hong Kong
409(1)
India
409(1)
Pakistan
409(1)
Iran
409(1)
Indonesia
410(1)
Kazakhstan
410(1)
Other Asian Countries
410(1)
Perspectives in Asia
410(1)
Abbreviations
411(1)
References
412(2)
42 Pediatric Liver Transplantation in South America: Incidence and Indications
414(6)
Gilda Porta
Introduction
414(1)
Liver Transplantation and Liver Transplantation Centers in South America
414(1)
Liver Transplantation in Various South American Countries
415(1)
Brazil
415(1)
Argentina
415(1)
Colombia
415(1)
Chile
415(1)
Other Countries
415(1)
Indications for Liver Transplantation
415(2)
Viral Infections
416(1)
Schistosomiasis
416(1)
Dengue Fever
416(1)
Yellow Fever
416(1)
Inherited Metabolic Disorders and Autoimmune Hepatitis
416(1)
Results After Liver Transplantation
417(1)
Conclusion
417(1)
References
417(3)
Section 11 Long-Term Issues
43 Psychosocial Outcomes After Pediatric Liver Transplantation
420(11)
Blossom G. Dharmaraj
Vicky L. Ng
Introduction
420(1)
Assessment of Psychosocial Aspects After Pediatric Liver Transplantation
420(2)
Health-Related Quality of Life
422(3)
Non-Modifiable Risk Factors
422(1)
Patient Age at Liver Transplantation
422(1)
Patient Gender
422(2)
Prirnary Diagnosis
424(1)
Household Factors
424(1)
Modifiable Risk Factors
424(1)
Non-Adherence
424(1)
Sleep Disturbances
424(1)
Health-Related Quality of Life of the Pediatric Liver Transplantation Recipient Compared With Other Groups
424(1)
Interventions Targeting Health-Related Quality of Life
425(1)
Mental Health
425(1)
Neurodevelopmental Outcomes
425(1)
School Performance
425(2)
Family Functioning
427(1)
Medication Adherence
427(1)
Interventions
428(1)
Transition to Adult Care
428(1)
Future Research Recommendations
428(1)
Conclusion
428(1)
References
428(3)
44 Chronic Graft Injury
431(11)
Steffen Hartleif
Ekkehard Sturm
Introduction
431(1)
Natural History of Chronic Graft Injury
431(2)
Histological Patterns of Chronic Graft Injury
433(1)
Hepatitis in Long-Term Liver Graft Recipients
433(1)
Fibrosis in Long-Term Liver Graft Recipients
433(1)
Differential Diagnoses of Chronic Graft Injury
434(1)
Recurrent Liver Disease
434(1)
Hepatitis E Virus Infection
434(1)
Chronic and Antibody-Mediated Rejection
434(1)
Diagnostic and Surveillance of Chronic Graft Injury
435(2)
Protocol Liver Biopsy
435(1)
Noninvasive Assessment of Liver Graft Integrity
435(1)
Donor-Specific HLA Antibodies
436(1)
Non-HLA Autoantibodies
436(1)
Chronic Graft Injury: Etiology Still Unclear?
437(1)
Therapeutic Approach
437(1)
Conclusion and Further Concepts
437(1)
References
438(4)
45 Prospects for Immune Tolerance
442(13)
Alberto Sanchez-Fueyo
Alison April Taylor
Introduction
442(1)
The Liver and the Immune System
442(2)
Liver Sinusoidal Endothelial Cells
443(1)
Kupffer Cells
443(1)
Dendritic Cells
443(1)
Liver-Resident Lymphocytes
443(1)
Hepatocytes
443(1)
Consequences for Clinical Practice
444(6)
Induction of Transplantation Tolerance
450(1)
Practical Considerations
450(2)
References
452(3)
46 Challenges for Young People With Liver Disease Including Transition to Adult Services
455(10)
Jemma Day
Marianne Samyn
Adolescent Development
455(2)
Neurodevelopmental Changes During Adolescence
455(1)
Growth and Puberty
456(1)
Cognitive Development and Challenges in the Liver Transplant Setting
456(1)
Challenges for Adolescents
457(2)
To Adhere or Not to Adhere
457(1)
Mental Health
458(1)
Self-Management Skills
458(1)
Multidisciplinary Support and Healthcare Provision for Young People
459(3)
Models of Healthcare Provision
459(1)
Integrated Multidisciplinary Work
460(2)
Peer Support and Mentoring
462(1)
Conclusion
462(1)
References
462(3)
47 Future of Liver Transplantation in Children
465(6)
Sergio Assia-Zamora
Nigel Heaton
Introduction
465(1)
Organ Donation
465(1)
Organ Preservation and the Advent of Machine Perfusion
465(1)
Surgical Techniques
466(1)
Laparoscopic and Robotic Surgery
466(1)
Anatomical Models in Surgical Training
467(1)
Selection of Patients and Timing of Transplant
467(1)
Repopulating Livers After Transplantation
467(1)
Medical Management
468(1)
Immunosuppression
468(1)
Long-Term Survival and a Natural Life Span
468(1)
Equality of Access to Health Care
469(1)
The Long Term
469(1)
References
469(2)
Index 471