Simultaneous or sequential gastrectomy in pediatric liver transplant recipients

The association between LT and gastrectomy is not common. Only two studies reported the gastrectomy/LT association in children. Here, we report three children who underwent LT who required a concomitant or sequential gastrectomy for different reasons. Patient 1, a 16‐yr‐old boy, during the LT, under...

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Bibliographic Details
Published in:Pediatric transplantation 2016-11, Vol.20 (7), p.994-999
Main Authors: Roda, Karina M. O., Fonseca, Eduardo A., Candido, Helry L., Benavides, Marcel R., Afonso, Rogerio C., Pugliese, Renata, Vincenzi, Rodrigo, Chapchap, Paulo, Seda Neto, Joao
Format: Article
Language:English
Subjects:
Adolescent
Anastomosis, Roux-en-Y - methods
Anastomosis, Surgical
Child, Preschool
children
Female
gastrectomy
Gastrectomy - methods
Humans
Immunosuppressive Agents - therapeutic use
Infant
live donation
Liver Failure - surgery
liver transplantation
Liver Transplantation - adverse effects
Liver Transplantation - methods
Male
Reoperation
Retrospective Studies
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Summary:The association between LT and gastrectomy is not common. Only two studies reported the gastrectomy/LT association in children. Here, we report three children who underwent LT who required a concomitant or sequential gastrectomy for different reasons. Patient 1, a 16‐yr‐old boy, during the LT, underwent a partial gastrectomy due to extensive injury to the duodenum. He had a previous and unusual portoenterostomy performed in the duodenum. Bowel reconstruction was performed using an intestinal loop that was first used for the bilio‐enteric anastomosis and then connected to the gastric stump. Patient 2, a 22‐month‐old female child, underwent a partial gastrectomy with a Roux‐en‐Y reconstruction during a retransplantation. She had a large perforated gastric ulcer blocked by the allograft liver. Patient 3, a 26‐month‐old male child, five yr after living donor LT, was submitted to a partial gastrectomy because of gastric outlet obstruction. The histopathology was compatible with eosinophilic gastritis. The association between LT and gastrectomy in the pediatric population is extremely rare. Appropriate knowledge of the previous transplantation technique is very important. Further studies are required to assess the outcomes of the different types of gastric reconstruction in pediatric recipients.
ISSN:1397-3142
1399-3046
DOI:10.1111/petr.12755