dc.contributor.author | Acar, Şencan | |
dc.contributor.author | Akyıldız, Murat | |
dc.contributor.author | Gürakar, Ahmet | |
dc.contributor.author | Tokat, Yaman | |
dc.contributor.author | Dayangaç, Murat | |
dc.date.accessioned | 2021-06-10T19:38:20Z | |
dc.date.available | 2021-06-10T19:38:20Z | |
dc.date.issued | 2020 | |
dc.identifier.issn | 1300-4948 | |
dc.identifier.issn | 2148-5607 | |
dc.identifier.uri | https://doi.org/10.5152/tjg.2020.18761 | |
dc.identifier.uri | https://app.trdizin.gov.tr/makale/TkRFMU56STVPUT09 | |
dc.identifier.uri | http://hdl.handle.net/11446/4300 | |
dc.description.abstract | Background/Aims: An increased post-operative mortality risk has been reported among patients who undergo living donor liver trans?plantation (LDLT) with higher model for end-stage liver disease (MELD) scores. In this study, we investigated the effect of MELD score reduction on post-operative outcomes in patients with a high MELD (?20) score by pre-transplant management. Materials and Methods: We retrospectively analyzed 386 LDLT cases, and patients were divided into low-MELD (<20, n=293) vs. high?MELD (?20, n=93) groups according to their MELD score at the time of index hospitalization. Patients in the high-MELD group were managed specifically according to a treatment algorithm in an effort to decrease the MELD score. Patients in the high-MELD group were further divided into 2 subgroups: (1) responders (n=34) to pre-transplant treatment with subsequent reduction of the MELD score by a minimum of 1 point vs. (2) non-responders (n=59), whose MELD score remained unchanged or further increased on the day of LDLT. Responders vs. non-responders were compared according to etiology, demographics, and survival. | en_US |
dc.language.iso | eng | en_US |
dc.identifier.doi | 10.5152/tjg.2020.18761 | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.title | Delta MELD as a predictor of early outcome in adult-to-adult living donor liver transplantation | en_US |
dc.type | article | en_US |
dc.relation.journal | Turkish Journal of Gastroenterology | en_US |
dc.department | [0-Belirlenecek] | en_US |
dc.identifier.issue | 11 | en_US |
dc.identifier.volume | 31 | en_US |
dc.identifier.startpage | 782 | en_US |
dc.identifier.endpage | 789 | en_US |
dc.relation.publicationcategory | Makale - Ulusal Hakemli Dergi - Kurum Öğretim Eleman | en_US |
dc.institutionauthor | [0-Belirlenecek] | |
dc.department-temp | Johns Hopkins University, School of Medicine Baltimore, Department of Gastroenterology and Hepatology, Section of Transplant Hepatology, United States;Koç Üniversitesi, Tıp Fakültesi, Gastroenteroloji ve Organ Nakli Merkezi Anabilim Dalı, İstanbul, Türkiye;Johns Hopkins University, School of Medicine Baltimore, Department of Gastroenterology and Hepatology, Section of Transplant Hepatology, United States;İstanbul Bilim Üniversitesi, Florence Nightingale Hastanesi, Genel Cerrahi Bölümü ve Karaciğer Nakli Ünitesi, İstanbul, Türkiye;Medipol Mega Üniversite Hastanesi, Genel Cerrahi ve Karaciğer Nakli Kliniği, İstanbul, Türkiye | en_US |