Publications by authors named "P ChapChap"
Recanalization of portal vein thrombosis after pediatric liver transplantation: Efficacy and safety of the transsplenic access.
Pediatr Transplant
February 2024
Background: Endovascular management of portal vein thrombosis (PVT) is challenging. Transsplenic access (TSA) is growing as an access option to the portal system but with higher rates of bleeding complications. The aim of this article is to evaluate the efficacy and safety of transsplenic portal vein recanalization (PVR) using a metallic stent after pediatric liver transplantation.
View Article and Find Full Text PDFIn vitro fertilization: an unexpected finding in a cohort of patients with biliary atresia.
Braz J Med Biol Res
April 2023
In biliary atresia (BA), efforts to prevent premature liver transplantation (LT) are aimed at early diagnosis, timing of Kasai-portoenterostomy (KPE), and centralization of care. This report presents the clinical picture, treatment strategies, and outcomes of BA patients with no previous treatment. A retrospective cohort study (Jan/2001 to Jan/2021) was conducted to evaluate the outcome of patients with BA referred to a single team.
View Article and Find Full Text PDFArticle Synopsis
- Left lateral segment grafts are effective in pediatric liver transplantation (PLT), and the study examined the relationship between hepatic vein (HV) reconstruction methods and transplant outcomes.
- The analysis included data from 303 PLTs, categorizing graft types based on venous anatomy and assessing complications like vascular issues and graft survival rates.
- Despite differences in graft types, the results showed a high overall graft survival rate of 96.3%, with no significant complications or differences in post-transplant outcomes among the different HV reconstruction methods.
Background: infants who require liver transplantation represent a treatment challenge because chronic liver disease at this early age affects the child's growth and development during a critical phase. The aim is to compare demographics, operative data, and long-term outcomes according to recipient weight at the time of LDLT.
Methods: This retrospective study included primary LDLT analyzed in 2 groups: BW ≤ 7 kg (n = 322) and BW > 7 kg (n = 756).
Methods: We present a series of three patients with large hepatocellular adenoma lesions showing a central location, for which the living donor liver transplantation strategy was used as a backup procedure.
Results: Hepatocellular adenoma was confirmed by biopsy in all patients. Surgical resection was indicated because of the patients' symptoms and lesion size and growth.