Pediatric Liver Transplantation: A Clinical Guide

by Nedim Hadzic, Ulrich Baumann, Valérie MCLIN

Overview

Written and edited by global leaders in the field, Pediatric Liver Transplantation: A Clinical Guide covers all aspects of treatment and management regarding this multifaceted procedure and unique patient population. This practical reference offers detailed, focused guidance in a highly templated, easy-to-consult format, covering everything from pre-transplantation preparation to surgical techniques to post-operative complications.

• Provides an in-depth understanding of all aspects of pediatric liver transplantation, ideal for pediatric hepatologists, pediatric transplant surgeons, and others on the pediatric transplant team.
• Covers all surgical techniques in detail, including split graft, living related, auxiliary, and domino.
• Discusses pediatric liver transplantation consideration for an increasing number of additional metabolic, hematologic and renal conditions; breakthroughs in grafting and stem cell therapy; and techniques and present role of hepatocyte transplantation.
• Uses a quick-reference templated format; each chapter includes an overview, pathophysiology, conventional management, controversies, and bulleted summary of key take-aways.
• Includes state-of-the-art mini-reviews based on updated references and author experience throughout the text.
• Features a full-color design with numerous algorithms, figures, and radiological and histopathological photos.

Product Details

ISBN-13:	9780323636728
Publisher:	Elsevier Health Sciences
Publication date:	11/13/2020
Sold by:	Barnes & Noble
Format:	eBook
Pages:	512
File size:	118 MB
Note:	This product may take a few minutes to download.

Table of Contents

1. Evolution of transplantation medicine

BRIEF HISTORY OF PLT

HEALTH SYSTEM BACKGROUND REQUIREMENTS FOR PLT

2. Before transplantation

Brain death criteria

Non-heart beating donors

Donor procurement

Managing a scarce resource: Differences in donor allocation across the world

INDICATIONS AND CONTRAINDICATIONS (and their evolution) – General aspects

(List of diagnoses)

PREPARATION FOR PLT

Medical (immunisations/cardiac/renal/neurological aspects)

Surgical and Radiological aspects

Psychological/Social aspects

3. Paediatric liver transplantation

ANAESTHETIC ASPECTS (Risk assessment)

SURGICAL ASPECTS (Choice of donor for PLT, Prevention of thrombosis/anticoagulation)

SURGICAL TECHNIQUES

Split graft

Living-related

Auxiliary

Domino

Techniques and present role of hepatocyte transplantation

STRATEGIES IN IMMUNE SUPPRESSION (Immune ablation, renal-sparing, steroid-sparing)

4. Management after Transplantation

INTENSIVE CARE ASPECTS

ANTI-INFECTION STRATEGIES

Viral

Bacterial

Fungal

EARLY COMPLICATIONS

SURGICAL (biliary, vascular, etc.)

MEDICAL

ROLE OF HISTOLOGY AFTER PLT

ROLE OF RADIOLOGY AND INTERVENTIONAL RADIOLOGY AFTER PLT

LATE COMPLICATIONS

SURGICAL (graft re-modelling, secondary portal hypertension/shunts)

MEDICAL (recurrent disease post-PLT, de novo AIH, post-transplant lymphoproliferative disease, nephrotoxicity)

PSYCHOSOCIAL ASPECTS AFTER PLT

(social reintegration, medication adherence, family planning, education)

PROSPECTS FOR IMMUNE TOLERANCE (possibilities for safe withdrawal of immunosuppression)

TRANSITION TO ADULT SERVICES (smooth handover of care to a different system)

FUTURE REQUIREMENTS

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From the Publisher

Detailed, in-depth coverage of this uniquely complex area of transplant medicine