Liver transplantation in Medellin, Colombia: Initial experience

Gutiérrez, Juan Carlos Restrepo; Guzmán, Carlos; Correa, Gonzalo; Restrepo, Juan Carlos; Sepúlveda, Elsy; Yepes, Nora Luz; Gutiérrez, M.; Gómez, Felipe; Duque, E.; Tobón, R.; Duque, Jorge Ospina; Velasquez, Ana

doi:10.1016/j.transproceed.2004.06.020

Cited by 8 publications

(5 citation statements)

References 2 publications

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“…The average waiting time on the liver transplantation list is reported to be 1 month. 24 The data from the present study demonstrate the safety of long-distance transportation of LTX candidates and suggest that allocation regions may be broadened and the numbers of centers performing this highly complicated operation reduced. Patients with either fulminant or deteriorating chronic liver disease can be transported to remote transplantation centers when their MELD score puts them at a realistic position for transplantation.…”

Section: Discussionmentioning

confidence: 58%

“…Thus, local hepatologists and surgeons are frequently faced with almost impossible situations where despite the availability of three transplant centers, it is often impossible to save the life of a patient with fulminant liver disease or primary graft failure. [17][18][19][20][21][22][23][24][25][26][27][28][29] Our practice to send patients who require emergency liver transplantation abroad has been criticized in Israel. Those who oppose it claim that the availability of organs abroad, although very limited, undermines the ability to convince a patient's family members to agree to LRLT and suggest that the health authorities should discontinue reimbursement for LTX.…”

Section: Discussionmentioning

confidence: 99%

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Air transportation of patients with end-stage liver disease to distant liver transplantation centers

et al. 2005

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Air transportation of patients with end-stage liver disease to distant liver transplantation centers

et al. 2005

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“…Gutierrez et al reported their experience with LT at Hospital Universitario San Vicente de Paul from 2000 to 2003 and included six children. The outcomes, however, were not discriminated between adults and children .…”

Section: Resultsmentioning

confidence: 72%

“…There is no information on survival in the websites (27). Gutierrez were not discriminated between adults and children (28).…”

Section: Colombiamentioning

confidence: 78%

Pediatric liver transplantation in Latin America: Where do we stand?

Feier

Antunes

D’Agostino

et al. 2016

Pediatric Transplantation

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LT started in LA in 1968, and pediatric LT records are available starting in the 1990s. Currently, eight countries perform pediatric LT in LA. Registries by national organizations fail to report robust data on pediatric LT. The aim of this paper was to report on the pediatric LT activity in LA. Data were gathered retrospectively through information available in the national registries websites and from local centers. Of the eight countries that report pediatric LT activity, Brazil, Argentina, Mexico, and Colombia have adequate registries of the numbers of LT performed. These countries concentrate most of the activity for pediatric LT. A total of 4593 pediatric LT were reported in LA. Websites for national organizations do not provide open data on post-transplant survival rates or waiting list mortality. The information herein is based on reports by local centers. Overall, survival from select centers is similar to that reported on North American and European registries, between 80 and 90% in the first year post-transplant. In conclusion, pediatric LT activity is growing in LA, especially in Brazil and Argentina. However, the lack of an appropriate LA registry restricts the assessment of quality and therefore restricts interventions aimed at quality improvements in different regions.

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“…In Colombia more than 1,700 liver transplantations were performed between the late 1990's and 2010. However, aside from a report of an early experience 5 , there is currently no reliable information available regarding the rates of patient survival and complications. We therefore decided to report the experiences of the Liver Transplantation Research Group at the Pablo Tobon Uribe Hospital, in Medellin, Colombia.…”

Section: Introductionmentioning

confidence: 99%

An experience of liver transplantation in Latin America: a medical center in Colombia

et al. 2015

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Objectives: Liver transplantation is the treatment of choice for acute and chronic liver failure, for selected cases of tumors, and for conditions resulting from errors in metabolism. This paper reports the experience of a medical center in Latin America.Methods: Were conducted 305 orthotopic liver transplantations on 284 patients between 2004 and 2010. Of these patients, 241 were adults undergoing their first transplantation.Results: The average age of patients was 52 years old, and 62% of the individuals were male. The most common indication was alcoholic cirrhosis. The rate of patient survival after 1 and 5 years was 82 and 72% respectively. The rate of liver graft survival after 1 and 5 years was 78 and 68% respectively. The main cause of death was sepsis. Complications in the hepatic artery were documented for 5% of the patients. Additionally, 14.5% of the patients had complications in the biliary tract. Infections were found in 41% of the individuals. Acute rejection was observed in 30% of the subjects, and chronic rejection in 3%. Conclusion: In conclusion, liver transplantation at our medical center in Colombia offers good mid-term results, with a complication rate similar to that reported by other centers around the world.

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Liver transplantation in Medellin, Colombia: Initial experience

Cited by 8 publications

References 2 publications

Air transportation of patients with end-stage liver disease to distant liver transplantation centers

Air transportation of patients with end-stage liver disease to distant liver transplantation centers

Pediatric liver transplantation in Latin America: Where do we stand?

An experience of liver transplantation in Latin America: a medical center in Colombia

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