Pediatric liver transplantation is a major surgical challenge, especially in very small patients (≤5 kg), and existing literature on low-body-weight transplant recipients is limited. Two new studies discuss the possibilities and limitations of liver transplantation in very young infants and demonstrate encouraging results for liver transplantation in infancy.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$189.00 per year
only $15.75 per issue
Buy this article
- Purchase on SpringerLink
- Instant access to the full article PDF.
USD 39.95
Prices may be subject to local taxes which are calculated during checkout
References
Arnon, R. et al. Liver transplantation in children weighing 5 kg or less: Analysis of the UNOS database. Pediatr. Transplant. 15, 650–658 (2011).
Gelas, T. et al. ABO-incompatible pediatric liver transplantation in very small recipients: Birmingham's experience. Pediatr. Transplant. 10.1111/j.1399–30462011.01541.x.
Grabhorn, E. et al. Short-and long-term results of liver transplantation in infants aged less than 6 months. Transplantation 78, 235–241 (2004).
Sundaram, S. S., Alonso, E. M. & Anand, R. Outcomes after liver transplantation in young infants. J. Pediatr. Gastroenterol. Nutr. 47, 486–492 (2008).
Sundaram, S. S., Alonso, E. M., Narkewitz, M. R., Zhang, S. & Squires, R. H. Characterization and outcomes of young infants with acute liver failure. J. Pediatr. 10.1016/j.jpeds.2011.04.016.
Schulze, M. et al. Implications for the usage of the left lateral liver graft for infants <10 kg, irrespective of a large-for-size situation—are monosegmental grafts redundant? Transpl. Int. 24, 797–804 (2011).
Raut, V. & Uemoto, S. Management of ABO-incompatible living-donor liver transplantation: past and present trends. Surg. Today 41, 317–322 (2011).
Tanabe, M. et al. Current progress in ABO-incompatible liver transplantation. Eur.J. Clin. Invest. 40, 943–949 (2010).
Wu, J. et al. Recipient outcome after ABO-incompatible liver transplantation: a systematic review and meta-analysis. PloS ONE 6, e16521 (2010).
McDiarmid, S. V., Anand, R., Martz, K., Millis, M. J. & Mazariegos, G. A multivariate analysis of pre-, peri-, and post-transplant factors affecting outcome after pediatric liver transplantation. Ann. Surg. 254, 145–154 (2011).
Author information
Authors and Affiliations
Ethics declarations
Competing interests
The author declares no competing financial interests.
Rights and permissions
About this article
Cite this article
Ganschow, R. Liver transplantation in very small recipients. Nat Rev Gastroenterol Hepatol 8, 606–607 (2011). https://doi.org/10.1038/nrgastro.2011.190
Published:
Issue date:
DOI: https://doi.org/10.1038/nrgastro.2011.190