الفهرس | Only 14 pages are availabe for public view |
Abstract Background: First performed in 1963 by Dr. Thomas Starzl, since then, liver transplantation has been performed in an increasing number of patients and considered the treatment of choice for end stage liver disease. Follow up is done by ultrasound and Doppler but, cross-sectional imaging methods such as computed tomography (CT) and magnetic resonance (MRI) imaging have greater overall sensitivity and specificity than US; however, moving patients who are in critical condition to the CT suite or the MR imaging unit precludes continuous monitoring and may put them at risk. Angiography is still the reference standard for diagnosing vascular complications of transplantation Aims: The aim of this study is to assess the role and importance of diagnostic radiology and its different modalities in evaluation of recipient complications after living donor liver transplantation. Methodology: The study was done from November 2013 until July 2015, where 50 patients underwent living donor liver transplantation at Dar Al fouad hospital and Ain Shams specialized hospital. Each patient was followed after liver transplantation at least for 6 months. The patients were 44 males and 6 females with mean age of 48 years Results: The study was performed on 50 patients who underwent living donor liver transplantation, 44 males and 6 females. The age ranges from 7 to 63 years with the mean age of 48 years. Forty six patients had HCV related cirrhosis (92%), three of them had coinfection by HBV. Two patients had cryptogenic cirrhosis, one had veno-occlusive disease related cirrhosis (Budd Chiari syndrome), and another one was Wilson disease. Conclusion: The different radiological modalities are a corner stone in success of the liver transplantation operation by curious postoperative follow up, they are the key for diagnosis of most of the complications including vascular, biliary and collections, furthermore, and they have a great predictive role in detecting cases with rejection. At the end the following imaging algorithm (fig. 48) is suggested to follow up the patients and to pick up the complications which lead to reduction in graft failure and recipient mortality. |