Abstract:
:A four-and-a-half-year-old boy underwent living-donor liver transplantation (LDLT) for progressive familial intrahepatic cholestasis. Immunosuppressive therapy was commenced with tacrolimus and methylprednisolone, despite which derangement of liver function tests (LFTs) became evident on postoperative day (POD) 7. A diagnosis of acute cellular rejection was made and steroid pulse therapy (SPT) was initiated. Although the LFTs improved transiently after SPT, they deteriorated again, and failed to respond to repeated SPT. Jaundice was prolonged and transudative ascitic fluid accumulated. Liver needle biopsies on PODs 20 and 24 confirmed severe graft damage constituting early chronic rejection. Based on the poor response to steroid therapy, coagulopathy, and protein-losing ascites, 3 mg/body weight of muromonab-CD3 was given from POD 24, increasing to 5 mg/body weight from POD 29. A rebound in LFTs appeared after the muromonab-CD3 therapy was discontinued and the LFTs normalized. The ascites and jaundice also disappeared, and the patient's general condition improved. Liver needle biopsies on POD 47 and 61 confirmed dramatic recovery from severe graft damage.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Hori T,Nguyen JH,Uemoto Sdoi
10.1007/s00595-010-4309-xsubject
Has Abstractpub_date
2011-04-01 00:00:00pages
585-90issue
4eissn
0941-1291issn
1436-2813journal_volume
41pub_type
杂志文章相关文献
SURGERY TODAY文献大全abstract::A total of 24 patients with endocrine neoplasms of the pancreas were clinicopathologically and immunohistochemically studied. They consisted of 18 patients with adenoma and 6 with carcinoma. Of the 24 patients, 13 developed attacks of hypoglycemia due to hyperinsulinemia, and 1 developed an uncontrollable duodenal ulc...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00308737
更新日期:1992-01-01 00:00:00
abstract::We recently reported the balance of T helper type 1 (Th1) cells and type 2 (Th2) cells in patients with lung carcinomas. This study was conducted to investigate their activity and role in tumors, which remain unclear. We determined the population of lymphocytes with intracellular interferon (IFN)-gamma or interleukin ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950170127
更新日期:2001-01-01 00:00:00
abstract::A 25-year-old man was admitted to our hospital for treatment of a painful ulcer on his left fourth toe, 9 years after undergoing lumbar sympathectomy and 4 years after undergoing bypass, both of which had been unsuccessful. Angiography demonstrated diffuse arterial occlusion in the lower extremities except for a persi...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00309397
更新日期:1995-01-01 00:00:00
abstract::The intrapulmonary thrombi that form after the cessation of circulation are thought to be one of the major causes of graft function failure. We evaluated the effect of recombinant tissue-type plasminogen activator (rt-PA) in a canine cadaver lung transplant model. Donor dogs were killed by the intravenous administrati...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02482320
更新日期:1999-01-01 00:00:00
abstract::An 82-year-old woman underwent total gastrectomy for advanced gastric cancer with invasion to the lower esophagus. Her blood pressure dropped alarmingly during the operation, which was performed via the transabdominal and left-side transthoracic approach. Using echocardiography, we diagnosed intraoperative-onset rever...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-005-3009-4
更新日期:2005-01-01 00:00:00
abstract:PURPOSE:Quickly differentiating patients who need emergency salvage operation for caustic ingestion injury from those who do not remains difficult. We thus conducted a retrospective study to assess whether arterial blood gas (ABG) analysis is helpful for deciding on the best management plan. METHODS:We divided 129 pat...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s10595-002-2523-y
更新日期:2003-01-01 00:00:00
abstract::Signet-ring cell carcinoma (SRCC) is rare in the biliary system. We report a case of SRCC coexisting with adenocarcinoma, arising in a choledochal cyst of the extrahepatic bile duct. The patient was a 52-year-old man, hospitalized for the investigation of jaundice and pruritus. Abdominal computed tomography and magnet...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-014-1049-3
更新日期:2015-08-01 00:00:00
abstract::Minimally invasive direct coronary artery bypass has the potential to cause an anastomotic failure because of a limited exposure of the operative field and the difficulty of internal thoracic artery harvesting. In the present study, the importance of preoperative marking for an accurate minithoracotomy location and a ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950050611
更新日期:2000-01-01 00:00:00
abstract::The objective of this study was to determine the effects of a diabetic disposition on pulmonary gas exchange by examining 72 patients who underwent coronary artery bypass grafting (CABG), using the arterial/alveolar oxygen tension ratio [(a/A)PO2] as a criterion. Patients were divided into a diabetic (DM) group and a ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311906
更新日期:1993-01-01 00:00:00
abstract::It is well known that surgical intervention on the stomach will greatly alter gastric function and gastric emptying. In this study, we evaluated the difference in postoperative gastric remnant emptying following pylorus-preserving gastrectomy (PPG) and conventional subtotal gastrectomy (CDG) using sulfamethizole capsu...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950050094
更新日期:1998-01-01 00:00:00
abstract::We describe herein the case of a 68-year-old man with malignant mesothelioma of the tunica vaginalis testis. The pathological diagnosis was based upon the clinical findings, gross and microscopic morphology, and special stains. Malignant mesothelioma is a rare tumor associated with asbestos exposure that can be effect...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s005950050654
更新日期:1999-01-01 00:00:00
abstract::Body composition was measured with bioelectric impedance analysis (BIA) in 30 patients with protein malnutrition following biliopancreatic diversion. Determinations were carried out prior to, during, and at the completion of intravenous nutritional support when the nutritional parameters had completely reverted to nor...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311363
更新日期:1993-01-01 00:00:00
abstract:PURPOSE:To determine if the preoperative administration of tegafur and uracil (UFT) to patients with lung adenocarcinoma could induce apoptosis. METHODS:We conducted a randomized prospective study on 30 patients with lung adenocarcinoma, divided into two groups of 15 patients each. One group received UFT 600 mg/day pr...
journal_title:Surgery today
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s00595-004-2814-5
更新日期:2004-01-01 00:00:00
abstract:PURPOSE:Ca(2+) channel blockers inhibit collagenase production and have a vasodilatatory effect. They also restrict the formation of ischemia-reperfusion induced free oxygen radicals. The aim of this study was to assess the effect of nifedipine on the healing of colonic anastomoses in a rat model. METHODS:Sixty Wistar...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2633-0
更新日期:2003-01-01 00:00:00
abstract::We experienced a very rare case of male intracystic breast carcinoma. A 66-year-old man presented at our hospital because of a palpable mass in his right breast. The imaging diagnosis was an intracystic carcinoma with hemorrhagic fluid and two mural nodules. Modified radical mastectomy was performed under general anes...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950170052
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:To clarify the correlation between portal hypertensive gastropathy (PHG) and clinical features after surgery for biliary atresia (BA). METHODS:Routine upper gastrointestinal endoscopies were done over 3 years in 27 children who underwent surgery for BA. We reviewed the recorded endoscopic findings, and retrosp...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2954-7
更新日期:2005-01-01 00:00:00
abstract::Two types of tumor necrosis factor membrane receptors (TNF-R) have been identified, namely 55 and 75 kDa TNF-R. Soluble forms of these receptors are present in the human serum. Recent findings on the role of these two TNF-R in biological cell signaling and the clinical significance of the serum levels of soluble TNF-R...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/BF02032887
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Thromboprophylaxis is recommended for preventing postoperative venous thromboembolism (VTE) after abdominal surgery; however, its use after major hepatobiliary-pancreatic surgery is typically avoided as it increases the risk of bleeding. We conducted this study to evaluate the safety of thrombopr...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-014-0890-8
更新日期:2014-09-01 00:00:00
abstract:PURPOSE:To improve the procedures used to treat prolapse and hemorrhoids, novel magnetic rings were invented to use in circumferential mucosectomies to avoid the disadvantages of stapling techniques. METHODS:Thirty adult pigs were randomly divided into three groups: Group A (n = 10), which underwent circumferential mu...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-014-0878-4
更新日期:2015-01-01 00:00:00
abstract::A case of microcystic disease of the pancreas which was clearly demonstrated by magnetic resonance cholangiopancreatography (MRCP) is reported herein. Cystic dilatation of the pancreatic duct was recognized by computed tomography scanning and endoscopic retrograde cholangiopancreatography (ERCP). Furthermore, the exis...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02482816
更新日期:1998-01-01 00:00:00
abstract::An experimental study was conducted using a canine model to elucidate whether the once transected vagal nerve can be conveniently anastomosed, and to determine when and to what degree the vagorrhaphy retains its functions. In the vagorrhaphy group (n = 5), the anterior and posterior vagal trunks were transected 1.5 cm...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02384988
更新日期:1997-01-01 00:00:00
abstract:PURPOSE:We evaluated the safety and efficacy of adult-to-adult right-lobe living donor liver transplantation (ARL-LDLT) in HBV-related benign liver disease recipients with high model for end-stage liver disease (MELD) scores. METHODS:The subjects of this study were 70 adult patients who underwent ARL-LDLT and 191 who ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-013-0539-z
更新日期:2013-09-01 00:00:00
abstract::Secondary aortoenteric fistulas (AEFs) are a well-known but uncommon cause of gastrointestinal hemorrhage. They usually occur secondary to reconstructive surgery of an abdominal aneurysm. We report six cases of secondary aortoduodenal fistulas, involving patients who, despite presenting with classic "herald bleeding,"...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2970-7
更新日期:2005-01-01 00:00:00
abstract::Two cases of an ano-urethral fistula, being a low malformation, are reported herein. Both patients underwent a colostomy under the diagnosis of a recto-urethral fistula during the neonatal period. As a urethro-rectogram later revealed the fistula to be located between the anus and anterior urethra, revision of the ure...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00309106
更新日期:1993-01-01 00:00:00
abstract::We report a case of primary malignant melanoma (MM) of the stomach. The patient, a 73-year-old man, was referred to our hospital for investigation of an elevated lesion in the stomach, detected by gastroscopy. On admission, physical examinations and laboratory data were unremarkable. Gastroscopy revealed a pigmented, ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-011-0077-5
更新日期:2012-01-01 00:00:00
abstract::Total esophagogastric dissociation (TED) is used to treat gastroesophageal reflux (GER) after failed fundoplication in neurologically impaired patients. It is now performed for some otherwise healthy patients with severe GER. In this procedure, the gastrointestinal tract is reconstructed in a non-physiological way wit...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-018-1636-9
更新日期:2018-11-01 00:00:00
abstract:PURPOSE:The transinguinal preperitoneal approach is a relatively new technique for inguinal hernia repair. Two types of memory-ring mesh are available in Japan: the modified Kugel patch (MK) and the Polysoft patch (PP). We tested the hypothesis that the PP is noninferior to the MK with respect to chronic postoperative ...
journal_title:Surgery today
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00595-015-1228-x
更新日期:2016-06-01 00:00:00
abstract:PURPOSE:Recently, single-incision thoracoscopic surgery (SITS) has been recognized as a favorable treatment choice for primary spontaneous pneumothorax (PSP) compared with conventional three-port video-assisted thoracoscopic surgery (VATS). However, conventional SITS bullectomy often results in collisions with surgical...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-017-1483-0
更新日期:2017-09-01 00:00:00
abstract:PURPOSE:We developed a new technique, sutureless mesh fixation, using 2-octyl cyanoacrylate (Dermabond®, a surgical tissue adhesive) for incisional hernia repair. The objective of this article is to introduce the new technique and to examine whether the technique provides sufficient resistance to abdominal pressure. M...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-015-1161-z
更新日期:2016-01-01 00:00:00
abstract:PURPOSE:We evaluated the surgical risks associated with fibrocavernous pulmonary tuberculosis by retrospectively examining chest computed tomography (CT) scans. METHODS:We reviewed the records of 40 patients who underwent pulmonary resection for fibrocavernous pulmonary tuberculosis, for whom preoperative CT scans wer...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2692-2
更新日期:2004-01-01 00:00:00