The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.
Changes in portal venous pressure in the early phase after living donor liver transplantation: pathogenesis and clinical implications1,2
Abstract
BACKGROUND: Although living-donor liver transplantation (LDLT) has been accepted for adult populations, the occurrence and pathogenesis of small-for-size syndrome remain highly controversial. METHODS: Portal venous pressure (PVP) was measured in 79 cases of LDLT from anhepatic phase to day 14. PVP was monitored through a catheter inserted via the inferior mesenteric vein. In a separate series of seven cases of adult LDLT, the splenic artery was ligated following arterial reperfusion. RESULTS: For days 2 to 4 and 9 to 11, recipients of small-for-size graft (<0.8% of body weight) displayed significantly higher PVP than recipients of larger grafts. The 13 patients with elevated mean PVP (>or=20 mm Hg) early in the first week (days 0-4) demonstrated significantly worse survival (84.5% vs. 38.5% at 6 months; P < 0.01), but this was not applicable to elevated mean PVP late in the first week (days 5-7). Elevated PVP early in the first week was also associated with higher incidence of bacteremia, cholestasis, prolonged prothrombin time, and ascites. Splenic artery ligation (SAL) immediately reduced PVP from 10 to 20 mm Hg (median, 16 mm Hg) to 9 to 13 mm Hg (median, 11 mm Hg; P = 0.02). Posttransplant PVP was significantly lower in SAL patients than in non-SAL patients from days 2 to 7 despite small graft size. Early PVP in SAL patients was consistently below 20 mm Hg, and survival was significantly better than in non-SAL patients with high early PVP (P < 0.01). CONCLUSION: Elevated PVP in the early phase is strongly associated with poor patient survival attributable, at least in part, to small-for-size graft. Further elucidation of the pathogenesis behind this phenomenon and efforts to modify PVP will be key to improving results.
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Cites
IMPACT OF GRAFT SIZE MISMATCHING ON GRAFT PROGNOSIS IN LIVER TRANSPLANTATION FROM LIVING DONORS1,2
Kiuchi, T., Kasahara, M., Uryuhara, K., Inomata, Y., Uemoto, S., Asonuma, K., Egawa, H., Fujita, S., Hayashi, M., & Tanaka, K. (1999) · Transplantation · doi:10.1097/00007890-199901270-00024 · Cited by 961
Self-citationSuccessful Liver Transplantation from a Living Donor to Her Son
Strong, R. W., Lynch, S. V., Ong, T. H., Matsunami, H., Koido, Y., & Balderson, G. A. (1990) · New England Journal of Medicine · doi:10.1056/nejm199005243222106 · Cited by 817
RIGHT LOBE GRAFT IN LIVING DONOR LIVER TRANSPLANTATION 1,2
Inomata, Y., Uemoto, S., Asonuma, K., Egawa, H., Kiuchi, T., Fujita, S., Hayashi, M., Kawashima, M., & Tanaka, K. (2000) · Transplantation · doi:10.1097/00007890-200001270-00011 · Cited by 372
Self-citationFunctional Analysis of Grafts from Living Donors: Implications for the Treatment of Older Recipients
Emond, J. C., Renz, J. F., Ferrell, L. D., Rosenthal, P., Lim, R. C., Roberts, J. P., Lake, J. R., & Ascher, N. L. (1996) · Annals of Surgery · doi:10.1097/00000658-199610000-00012 · Cited by 368
Nakamura, T., Tanaka, K., Kiuchi, T., Kasahara, M., Oike, F., Ueda, M., Kaihara, S., Egawa, H., Ozden, I., Kobayashi, N., et al. (2002) · Transplantation · doi:10.1097/00007890-200206270-00008 · Cited by 313
Self-citationSmall-for-size partial liver graft in an adult recipient; a new transplant technique
Boillot, O., Delafosse, B., Méchet, I., Boucaud, C., & Pouyet, M. (2002) · The Lancet · doi:10.1016/s0140-6736(02)07593-1 · Cited by 247
Split Liver Transplantation: King's College Hospital Experience
Rela, M., Vougas, V., Muiesan, P., Vilca-Melendez, H., Smyrniotis, V., Gibbs, P., Karani, J., Williams, R., & Heaton, N. (1998) · Annals of Surgery · doi:10.1097/00000658-199802000-00019 · Cited by 169
Lo, C.-M., Fan, S.-T., Chan, J. K. F., Wei, W., Lo, R. J. W., & Lai, C.-L. (1996) · Transplantation · doi:10.1097/00007890-199609150-00029 · Cited by 158
Marcos, A., Olzinski, A. T., Ham, J. M., Fisher, R. A., & Posner, M. P. (2000) · Transplantation · doi:10.1097/00007890-200012270-00006 · Cited by 141
Functional venous anatomy for right-lobe grafting and techniques to optimize outflow
Marcos, A., Orloff, M., Mieles, L., Olzinski, A. T., Renz, J. F., & Sitzmann, J. V. (2001) · Liver Transplantation · doi:10.1053/jlts.2001.27966 · Cited by 131
Cited by
Regulation of hepatic blood flow: The hepatic arterial buffer response revisited
Eipel, C. (2010) · World Journal of Gastroenterology · doi:10.3748/wjg.v16.i48.6046 · Cited by 560
The ???small for size??? liver syndrome
Tucker, O. N., & Heaton, N. (2005) · Current Opinion in Critical Care · doi:10.1097/01.ccx.0000157080.11117.45 · Cited by 180
Allard, M.-A., Adam, R., Bucur, P.-O., Termos, S., Cunha, A. S., Bismuth, H., Castaing, D., & Vibert, E. (2013) · Annals of Surgery · doi:10.1097/sla.0b013e3182a64b38 · Cited by 142
Oura, T., Taniguchi, M., Shimamura, T., Suzuki, T., Yamashita, K., Uno, M., Goto, R., Watanabe, M., Kamiyama, T., Matsushita, M., et al. (2008) · American Journal of Transplantation · doi:10.1111/j.1600-6143.2007.02045.x · Cited by 42
Gavriilidis, P., Hammond, J. S., & Hidalgo, E. (2020) · HPB · doi:10.1016/j.hpb.2020.07.006 · Cited by 16
Metadata
- Authors
- Ito, T., Kiuchi, T., Yamamoto, H., Oike, F., Ogura, Y., Fujimoto, Y., Hirohashi, K., & Tanaka, A. K.
- Venue
- Transplantation
- Published
- 2003-04
- Volume
- 75
- Issue
- 8
- Pages
- 1313-1317
- ISSN
- 0041-1337 (ISSN-L)
- OpenAlex
- W2077154172
- Cited by
- 288
- References
- 13
- FWCI
- 12.22
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Changes in portal venous pressure in the early phase after living donor liver transplantation: pathogenesis and clinical implications1,2. https://app.cochat.ai/papers/10.1097/01.tp.0000063707.90525.10
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- Ito, T., Kiuchi, T., Yamamoto, H., Oike, F., Ogura, Y., Fujimoto, Y., Hirohashi, K., & Tanaka, A. K. (2003). Changes in portal venous pressure in the early phase after living donor liver transplantation: pathogenesis and clinical implications1,2. Transplantation. https://doi.org/10.1097/01.tp.0000063707.90525.10
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