ウイルス肝炎,特に肝細胞癌合併症例に対する生体肝移植適応評価の現況
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Bibliographic Record
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- Material Type
- 記事
- Author/Editor
- 井上 佐和子森園 周祐山下 晋作 他
- Alternative Title
- Estimation of indication for living donor liver transplantation in patients with HCV and/or HBV infection
- Periodical title
- 福岡医学雑誌 = Fukuoka acta medica
- No. or year of volume/issue
- 98(7) (通号 1030) 2007.7.25
- Volume
- 98
- Issue
- 7
- Sequential issue number
- 1030
- Pages
- 295~300
- Publication date of volume/issue (W3CDTF)
- 2007-07-25
- ISSN (Periodical Title)
- 0016-254X
- ISSN-L (Periodical Title)
- 0016-254X
- Publication (Periodical Title)
- 福岡 : 福岡医学会
- Place of Publication (Country Code)
- JP
- Text Language Code
- jpn
- NDLC
- Target Audience
- 一般
- Holding library
- 国立国会図書館
- Call No.
- Z19-86
- Data Provider (Database)
- 国立国会図書館 : 国立国会図書館雑誌記事索引
- Bibliographic ID (NDL)
- 8977458
- Bibliographic Record Category (NDL)
- 632
- Summary, etc.
- We evaluated 78 patients with chronic viral hepatitis for liver transplantation. 51 patients met our original criteria for liver transplantation,and 35 patients of them suffered from hepatocellular carcinoma (HCC). Patients with HCC were significantly older and showed higher prothrombin activity than those without HCC. Eighteen of 35 patients with HCC did not meet the Milan criteria, and they showed lower levels of total bilirubin, Child-Pugh score, and MELD score than those who met the criteria. Theses results indicate that acceptability for transplantation should be evaluated soon after the patients have become candidates for liver transplantation. In Japan, decompensated liver cirrhosis is a necessary condition for the application of public health insurance against liver transplantation and,in cases with HCC,it is necessary to meet the Milan criteria.Application to liver transplantation should also be considered based on HCC stage such as the UNOS scoring system.
- DOI
- 10.15017/6370
- Access Restrictions
- インターネット公開
- Periodical Title (NCID)
- AN00215478
- Data Provider (Database)
- 国立情報学研究所 : 学術機関リポジトリデータベース(IRDB)(機関リポジトリ)
- Original Data Provider (Database)
- 九州大学学術情報リポジトリ(QIR)
- Summary, etc.
- We evaluated 78 patients with chronic viral hepatitis for liver transplantation. 51 patients met our original criteria for liver transplantation,and 35 patients of them suffered from hepatocellular carcinoma (HCC). Patients with HCC were significantly older and showed higher prothrombin activity than those without HCC. Eighteen of 35 patients with HCC did not meet the Milan criteria, and they showed lower levels of total bilirubin, Child-Pugh score, and MELD score than those who met the criteria. Theses results indicate that acceptability for transplantation should be evaluated soon after the patients have become candidates for liver transplantation. In Japan, decompensated liver cirrhosis is a necessary condition for the application of public health insurance against liver transplantation and,in cases with HCC,it is necessary to meet the Milan criteria.Application to liver transplantation should also be considered based on HCC stage such as the UNOS scoring system.
- DOI
- 10.15017/6370
- Access Restrictions
- インターネット公開
- Related Material (URI)
- Data Provider (Database)
- 国立情報学研究所 : CiNii Research
- Original Data Provider (Database)
- Japan Link Center学術機関リポジトリデータベース雑誌記事索引データベースPubMedCiNii ArticlesCiNii Articles
- Bibliographic ID (NDL)
- 8977458
- NAID
- 40015678738120000987276