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Pediatric Practice: GastroenterologyPediatric Practice: Gastroenterology

Section 4. Disorders of the Liver > 

Chapter 29. Liver Transplantation

Yumirle Turmelle and Ross W. Shepherd
Topics Discussed: gastroenterology and hepatology; liver transplantation; meld score; peld score; transplantation.
Sections: Clinical Presentation and Reasons for Referral, Treatment, Outcomes, References.
Excerpt:"Liver transplantation refers to the surgical replacement of a diseased liver with a donor-grafted organ. This is most commonly orthotopic (complete removal and replacement), but occasionally heterotopic, where the native organ is left in situ. The transplant may be whole liver, a reduced-size liver, or a liver segment, the latter as means of overcoming donor organ scarcity, particularly for pediatric recipients (Figure 29–1). Reduced-size liver grafts, such as a left-lateral segment or hemireduction graft, can be derived from either cadaver or living donors, or from split-liver transplantation, where two grafts are created from a single donor organ for two recipients, usually an adult and an infant.1..."
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