TY  - JOUR
TI  - Evaluation of Early and Late Complications of Pediatric Liver 
Transplantation with Multi-slice Computed Tomography: 
A High-Volume Transplant Single-Center Study
AB  - Background: To present abdominal multi-slice computed tomography (MSCT) results following transplantation in pediatric patients 
with a liver transplantation (LT), and to create awareness of early (<3 months) and late (>3 months) complications that may occur.
Methods: This retrospective study included 119 children with an LT performed in our hospital from 2014 to 2017. The descriptive statistics relating to patients’ age, gender, transplantation indications, transplantation technique, and MSCT findings were calculated, 
and are presented as numbers and percentages. The complications were divided into 4 groups: vascular, biliary, parenchymal, and 
extraparenchymal. 
Results: The LT procedures were performed with organs from living donors for 83 patients, and from deceased donors for 36 patients. 
Hepatic artery and portal vein complications were mostly seen in the early period (n = 18), and hepatic vein complications were also 
observed in the late period (n = 6). The most commonly encountered biliary complications were stenosis/stricture (n = 13) and bile leak/
bilioma (n = 9). Stenosis/stricture frequently occurred in the late period. The most common parenchymal complications were ischemic infarct (n = 8) in the early period, and abscess (n = 4) and recurrent hepatoblastoma (n = 2) in the late period. Hematoma (n = 7), 
intestinal perforation (n = 3), and focal spleen infarct (n = 3) were among the most commonly observed extraparenchymal abdominal 
complications. 
Conclusion: The complications occurring after pediatric LT varied according to the time after surgery and the transplantation technique 
used. Using MSCT, different abdominal complications can be assessed simultaneously, greatly contributing to diagnosis and treatment.
AU  - ÖZTÜRK, MEHMET
AU  - Yilmaz, Sezai
AU  - Sığırcı, Ahmet
AU  - DAĞ, Nurullah
DO  - 10.5152/tjg.2021.20564
PY  - 2021
JO  - Turkish Journal of Gastroenterology
VL  - 32
IS  - 7
SN  - 1300-4948
SP  - 586
EP  - 592
DB  - TRDizin
UR  - http://search/yayin/detay/513481
ER  -