Diaphragmatic hernias after pediatric liver transplantation: Experience of a high-volume transplant center

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dc.authoridVarol, İlknur fatma/0000-0001-5212-218X
dc.authoridKARAKAS, SERDAR/0000-0001-8314-7806
dc.authoridSARICI, KEMAL BARIŞ/0000-0001-9595-1906
dc.authoridKutluturk, Koray/0000-0002-7030-4953
dc.authoridBASKIRAN, ADIL/0000-0002-7536-1631
dc.authoridSAHIN, TEVFIK TOLGA/0000-0002-9132-6115
dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authorwosidVarol, İlknur fatma/ABH-6387-2020
dc.authorwosidKARAKAS, SERDAR/AAB-3219-2021
dc.authorwosidSARICI, KEMAL BARIŞ/ABI-4356-2020
dc.authorwosidKutluturk, Koray/S-5493-2019
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.authorwosidBASKIRAN, ADIL/ABI-2356-2020
dc.authorwosidSAHIN, TEVFIK TOLGA/AAA-9648-2021
dc.contributor.authorKarakas, Serdar
dc.contributor.authorSahin, Tevfik Tolga
dc.contributor.authorKutluturk, Koray
dc.contributor.authorOtan, Emrah
dc.contributor.authorBaskiran, Adil
dc.contributor.authorSarici, Kemal Baris
dc.contributor.authorVarol, Ilknur
dc.date.accessioned2024-08-04T20:47:12Z
dc.date.available2024-08-04T20:47:12Z
dc.date.issued2020
dc.departmentİnönü Üniversitesien_US
dc.description.abstractDiaphragmatic hernias (DHs) are rare complications after pediatric liver transplantation (PLT). It is now widely accepted that DHs after liver transplantation (LT) is a pediatric related condition. PLTs (under of age 18) performed between January 2013 and June 2019 at Malatya Inonu University Institute of Liver Transplantation were retrospectively scanned. Study group consisting DHs and a control group were compared. Among 280 PLTs, 8 of them were complicated with DHs (%2.9). Median age of the patients with DH was 3.0 (0.8-9.5) years. Median graft recipient weight ratio was 2.5 (0.9-4.4). Five patients were below 5th percentiles in terms of pediatric weight growth chart at the time of LT. Also, 6 patients were below 5th percentiles in terms of pediatric height growth chart. There was no statistical difference between study and control groups. There are many risk factors mentioned in literature that may be primarily responsible for DHs after PLT. These factors are left lobe and large-for-size grafts, malnutrition, trauma or diathermy of diaphragmatic nerve and vessels and immunosuppressants. In our study, we could not specify any reason that differs in DHs. In our aspect, narrow diaphragma and thorax are exposed to high intra-abdominal pressure from abdomen. Large-for-size grafts, which are specific to children, also may contribute to this affect. Excessive diathermy and trauma to diaphragmatic collaterals may aggravate the risk of DH. More patients are needed to make an exact conclusion, in order to evaluate with comparable study on this aspect.en_US
dc.identifier.doi10.1111/petr.13684
dc.identifier.issn1397-3142
dc.identifier.issn1399-3046
dc.identifier.issue3en_US
dc.identifier.pmid32166863en_US
dc.identifier.scopus2-s2.0-85081722521en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1111/petr.13684
dc.identifier.urihttps://hdl.handle.net/11616/99224
dc.identifier.volume24en_US
dc.identifier.wosWOS:000530306100018en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofPediatric Transplantationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectdiaphragmatic herniaen_US
dc.subjectliving donor liver transplantationen_US
dc.subjectpediatric liver transplantationen_US
dc.titleDiaphragmatic hernias after pediatric liver transplantation: Experience of a high-volume transplant centeren_US
dc.typeArticleen_US

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