Two cases of variceal haemorrhage during living-donor liver transplantation

T. Matsusaki, H. Morimatsu, T. Sato, J. Matsumi, N. Okazaki, Y. Umeda, K. Morita

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Some patients with cirrhosis experience rupture of venous varices before operation, and liver transplantation is a therapy of last resort for these patients. However, we have experienced two cases of intraoperative rupture in whom no abnormalities of the venous varices were seen on endoscopy before operation. One patient with ruptured gastrointestinal varices was treated by direct surgical ligation and the other with ruptured oesophageal gastric varices, spontaneously recovered with a SengstakenBlakemore tube. These cases suggest that acute variceal haemorrhage should always be considered as a possibility during living-donor liver transplantation in patients with a history of upper gastrointestinal bleeding. Careful observation of the nasogastic tube is important during clamping of the hepatic portal vein.

Original languageEnglish
Pages (from-to)537-539
Number of pages3
JournalBritish Journal of Anaesthesia
Volume106
Issue number4
DOIs
Publication statusPublished - Apr 2011

Keywords

  • living-donor liver transplantation
  • portal hypertension
  • variceal haemorrhage

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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