Is high body mass index a factor that increases postoperative hemorrhage and bile complication rates in right lobe living donor liver transplant recipients?

Ender Anılır; Feyza Sönmez Topcu; Alihan Oral; Hasret Civan; Mert Bayramoğlu; Emrah Sahın; Veysel Ersan; Abuzer Dirican; Bülent Ünal

Makale detayları

Is high body mass index a factor that increases postoperative hemorrhage and bile complication rates in right lobe living donor liver transplant recipients?

Yazarlar:

Ender Anılır | Feyza Sönmez Topcu | Alihan Oral | Hasret Civan | Mert Bayramoğlu | Emrah Sahın | Veysel Ersan | Abuzer Dirican | Bülent Ünal

Yayıncı:

Pamukkale University

Ana Başlıklar:

Cerrahi (Diğer) | Gastroenteroloji ve Hepatoloji

Dergi:

Pamukkale Tıp Dergisi Vol.17 Issue 1, pp.99-103

Belge Tipi:

Makale

Yayın Tarihi:

1/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001293881

pISSN:

1308-0865

Anahtar kelimeler:

Özet:

 Purpose: High Body Mass Index emerges as an important perioperative and postoperative risk factor for liver transplantation. We aimed to examine the effect of increased BMI on perioperative follow-up parameters and per-postoperative complications in liver transplant recipients. Materials and methods: One hundred and seventy-two patients who underwent living-donor liver transplantation for end stage liver cirrhosis were included in the study. Whether there was a difference between cold ischemia time, operation time, blood product transfusion rates, hospital, biliary complications, hepatic vein thrombosis, portal vein thrombosis, NASH etiology, postoperative hemorrhage, sepsis, and primary graft dysfunction were analyzed statistically in terms of those with a BMI of 25 and above and those below 25. Results: Anhepatic phase duration p0.047 and cold ischemia duration p0.009 were statistically longer in patients with BMI 25. Conclusion: Prolonged anhepatic phase and cold ischemia times may be important in terms of the effect of increased BMI on postoperative graft survival.

 Purpose: High Body Mass Index emerges as an important perioperative and postoperative risk factor for liver transplantation. We aimed to examine the effect of increased BMI on perioperative follow-up parameters and per-postoperative complications in liver transplant recipients. Materials and methods: One hundred and seventy-two patients who underwent living-donor liver transplantation for end stage liver cirrhosis were included in the study. Whether there was a difference between cold ischemia time, operation time, blood product transfusion rates, hospital, biliary complications, hepatic vein thrombosis, portal vein thrombosis, NASH etiology, postoperative hemorrhage, sepsis, and primary graft dysfunction were analyzed statistically in terms of those with a BMI of 25 and above and those below 25. Results: Anhepatic phase duration p0.047 and cold ischemia duration p0.009 were statistically longer in patients with BMI 25. Conclusion: Prolonged anhepatic phase and cold ischemia times may be important in terms of the effect of increased BMI on postoperative graft survival.

 Purpose: High Body Mass Index emerges as an important perioperative and postoperative risk factor for liver transplantation. We aimed to examine the effect of increased BMI on perioperative follow-up parameters and per-postoperative complications in liver transplant recipients. Materials and methods: One hundred and seventy-two patients who underwent living-donor liver transplantation for end stage liver cirrhosis were included in the study. Whether there was a difference between cold ischemia time, operation time, blood product transfusion rates, hospital, biliary complications, hepatic vein thrombosis, portal vein thrombosis, NASH etiology, postoperative hemorrhage, sepsis, and primary graft dysfunction were analyzed statistically in terms of those with a BMI of 25 and above and those below 25. Results: Anhepatic phase duration p0.047 and cold ischemia duration p0.009 were statistically longer in patients with BMI 25. Conclusion: Prolonged anhepatic phase and cold ischemia times may be important in terms of the effect of increased BMI on postoperative graft survival.

 Amaç: Yüksek Vücut Kitle İndeksi, karaciğer transplantasyonu için önemli bir perioperatif ve postoperatif risk faktörü olarak ortaya çıkmaktadır. Karaciğer transplantasyonu alıcılarında artmış BMInin perioperatif takip parametreleri ve postoperatif komplikasyonlar üzerine etkisini incelemeyi amaçladık. Gereç ve yöntem: Son dönem karaciğer sirozu nedeniyle canlı vericiden karaciğer nakli yapılan 172 hasta çalışmaya dahil edildi. Bunlara göre soğuk iskemi süresi, operasyon süresi, kan ürünü transfüzyon oranları, hastane yatış süresi, safra komplikasyonları, hepatik ven trombozu, portal ven trombozu, NASH etiyolojisi, postoperatif kanama, sepsis ve primer greft disfonksiyonu arasında fark olup olmadığı BMIsı 25 ve üzeri olan ve 25in altında olan kişiler açısından istatistiksel olarak analiz edildi. Bulgular: BMI 25 olan hastalarda anhepatik faz süresi p0,047 ve soğuk iskemi süresi p0,009 istatistiksel olarak daha uzundu. Sonuç: Uzamış anhepatik faz ve soğuk iskemi süreleri, artan vücut kitle indeksinin postoperatif greft sağ kalımına etkisi açısından önemli olabilir.

Makale detayları

Is high body mass index a factor that increases postoperative hemorrhage and bile complication rates in right lobe living donor liver transplant recipients?

Yazarlar:

Ender Anılır | Feyza Sönmez Topcu | Alihan Oral | Hasret Civan | Mert Bayramoğlu | Emrah Sahın | Veysel Ersan | Abuzer Dirican | Bülent Ünal

Yayıncı:

Pamukkale University

Ana Başlıklar:

Cerrahi (Diğer) | Gastroenteroloji ve Hepatoloji

Dergi:

Pamukkale Tıp Dergisi Vol.17 Issue 1, pp.99-103

Belge Tipi:

Makale

Yayın Tarihi:

1/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001293881

pISSN:

1308-0865

Obesity

body mass index

liver

transplantation

complicationObezite

vücut kitle indeksi

karaciğer

transplantasyon

komplikasyon

Sayı

Makale detayları

Yazarlar: Ender Anılır | Feyza Sönmez Topcu | Alihan Oral | Hasret Civan | Mert Bayramoğlu | Emrah Sahın | Veysel Ersan | Abuzer Dirican | Bülent Ünal

Yayıncı: Pamukkale University

Ana Başlıklar: Cerrahi (Diğer) | Gastroenteroloji ve Hepatoloji

Dergi: Pamukkale Tıp Dergisi Vol.17 Issue 1, pp.99-103

Belge Tipi: Makale

Yayın Tarihi: 1/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001293881

pISSN: 1308-0865

Sayı

Yazarlar:

Ender Anılır | Feyza Sönmez Topcu | Alihan Oral | Hasret Civan | Mert Bayramoğlu | Emrah Sahın | Veysel Ersan | Abuzer Dirican | Bülent Ünal

Yayıncı:

Pamukkale University

Ana Başlıklar:

Cerrahi (Diğer) | Gastroenteroloji ve Hepatoloji

Dergi:

Pamukkale Tıp Dergisi Vol.17 Issue 1, pp.99-103

Belge Tipi:

Makale

Yayın Tarihi:

1/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001293881

pISSN:

1308-0865