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Outcomes after live donor liver transplantation based on donor BMI

Volume 30 · Issue Supplement 1 Publish Date: July 25, 2019
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Nathalie H. Urrunaga
Department of Medicine Division of Gastroenterology and Hepatology Johns Hopkins University School of Medicine
Jacqueline Garonzik Wang
Department of Surgery Division of Transplantation Johns Hopkins University School of Medicine Turkey
Shane E. Ottmann
Department of Surgery Division of Transplantation Johns Hopkins University School of Medicine Turkey
Andrew M. Cameron
Department of Surgery Division of Transplantation Johns Hopkins University School of Medicine Turkey
Ahmet Gurakar
Department of Medicine Division of Gastroenterology and Hepatology Johns Hopkins University School of Medicine
Benjamin Philosophe
Department of Surgery Division of Transplantation Johns Hopkins University School of Medicine Turkey
Urrunaga, N. H., Wang, J. G., Ottmann, S. E., Cameron, A. M., Gurakar, A., & Philosophe, B. (2019). Outcomes after live donor liver transplantation based on donor BMI. Turkish Journal of Gastroenterology, 30(Supplement 1), 2–2. https://doi.org/10.5152/tjg.2019.02
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Abstract

INTRODUCTION: Live liver donors with BMI >30 are usually not considered for donation due to concerns of fatty changes and post-surgical complications. We aimed to evaluate the post-transplant outcomes for both donors and recipients with different BMIs and characteristics.  METHODS: Records of donors and their recipients who underwent adult to adult live donor liver transplantation (LDLT) between 2013 and 2018 at Johns Hopkins were reviewed. Liver steatosis >20% was excluded in all donors by imaging or liver biopsy. Survival curves were generated using Kaplan–Meier plots. Significant variables had P-values RESULTS: 43 donors and 43 recipients were identified. 54.7% of donors were male, had a mean BMI of 26, average age of 34.6 years and length of stay of 7.23 days. 90-day outcomes were measured and complications were reported in 11 donors. Two donors visited the ED for pain. Four needed admission with duration of 1 to 4 days. No mortality was reported in the donors. 17 donors had BMICONCLUSION: We conclude that LDLT from donors with BMI≥ 30 in the absence of graft steatosis has similar outcomes than donors with BMI <30 and can be considered for LDLT.

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Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 30 · Issue Supplement 1
Pages 2-2
History
Published Online July 25, 2019
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Affiliations
Nathalie H. Urrunaga
Department of Medicine Division of Gastroenterology and Hepatology Johns Hopkins University School of Medicine
Jacqueline Garonzik Wang
Department of Surgery Division of Transplantation Johns Hopkins University School of Medicine Turkey
Shane E. Ottmann
Department of Surgery Division of Transplantation Johns Hopkins University School of Medicine Turkey
Andrew M. Cameron
Department of Surgery Division of Transplantation Johns Hopkins University School of Medicine Turkey
Ahmet Gurakar
Department of Medicine Division of Gastroenterology and Hepatology Johns Hopkins University School of Medicine
Benjamin Philosophe
Department of Surgery Division of Transplantation Johns Hopkins University School of Medicine Turkey
Cite this Article
Urrunaga, N. H., Wang, J. G., Ottmann, S. E., Cameron, A. M., Gurakar, A., & Philosophe, B. (2019). Outcomes after live donor liver transplantation based on donor BMI. Turkish Journal of Gastroenterology, 30(Supplement 1), 2–2. https://doi.org/10.5152/tjg.2019.02
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