Intensive therapy for fulminant hepatic failure: Importance of co-operation between physicians of internal medicine and transplantation surgery

Yoshiyuki Yamagishi, Hidetsugu Saito, Motohide Shimadu, Ken Hoshino, Hisashi Kobayashi, Nobuhiro Nakamoto, Yoshinori Horie, Shinzo Kato, Yasuhide Morikawa, Masaki Kitajima, Hiromasa Ishii

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

We followed up the patients with fulminant hepatic failure who admitted in our hospital and investigated clinical problems raised in the patients who underwent living-related liver transplantation (LRLT). Among 15 patients with fulminant hepatic failure 6 were managed without LRLT and 3 patients survived, and the survival rate was 50%. Other 9 patients received LRLT. and 2 of these 9 died with their complications after the transplantation. Thus the survival rate by LRLT in fulminant hepatic failure was 77.8%. Brain CT scan examination showed severe brain edema in a patient and the edema did not improve after LRLT. Another patient suffered from development of fungal infection in her lungs after LRLT. We suspected the presence of subclinical infection in the preoperation period. The recovery from brain edema and the existence of sub-clinical infection are mostly difficult to evaluate but are very important for obtaining a good output. These results suggest that LRLT is a promising procedure for treatment of fulminant hepatic failure but a close cooperation between physicians of internal medicine and transplantation surgery from preoperative management until postoperative period is necessary.

Original languageEnglish
Pages (from-to)1205-1212
Number of pages8
JournalJapanese Journal of Gastroenterology
Volume99
Issue number10
Publication statusPublished - 2002 Oct 1

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Acute Liver Failure
Internal Medicine
Liver Transplantation
Transplantation
Physicians
Brain Edema
Therapeutics
Survival Rate
Asymptomatic Infections
Mycoses
Postoperative Period
Edema
Lung
Brain
Infection

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Intensive therapy for fulminant hepatic failure : Importance of co-operation between physicians of internal medicine and transplantation surgery. / Yamagishi, Yoshiyuki; Saito, Hidetsugu; Shimadu, Motohide; Hoshino, Ken; Kobayashi, Hisashi; Nakamoto, Nobuhiro; Horie, Yoshinori; Kato, Shinzo; Morikawa, Yasuhide; Kitajima, Masaki; Ishii, Hiromasa.

In: Japanese Journal of Gastroenterology, Vol. 99, No. 10, 01.10.2002, p. 1205-1212.

Research output: Contribution to journalArticle

Yamagishi, Y, Saito, H, Shimadu, M, Hoshino, K, Kobayashi, H, Nakamoto, N, Horie, Y, Kato, S, Morikawa, Y, Kitajima, M & Ishii, H 2002, 'Intensive therapy for fulminant hepatic failure: Importance of co-operation between physicians of internal medicine and transplantation surgery', Japanese Journal of Gastroenterology, vol. 99, no. 10, pp. 1205-1212.
Yamagishi, Yoshiyuki ; Saito, Hidetsugu ; Shimadu, Motohide ; Hoshino, Ken ; Kobayashi, Hisashi ; Nakamoto, Nobuhiro ; Horie, Yoshinori ; Kato, Shinzo ; Morikawa, Yasuhide ; Kitajima, Masaki ; Ishii, Hiromasa. / Intensive therapy for fulminant hepatic failure : Importance of co-operation between physicians of internal medicine and transplantation surgery. In: Japanese Journal of Gastroenterology. 2002 ; Vol. 99, No. 10. pp. 1205-1212.
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