title: [Living donor liver transplantation for fulminant hepatic failure--medical treatment organization in Kyushu University].
abstract: Liver transplantation has been recognized as an effective therapeutic method for end-stage liver disease in Japan. Fulminant hepatic failure is also an indication for liver transplantation, and the number of patients undergoing liver transplantation has been increasing. Reversibility and urgency are characteristics of fulminant hepatitis. If given appropriate critical support, many patients recover spontaneously. However, many patients develop cerebral edema or multiorgan failure before the liver can regenerate. From October 1996 to July 2002, living donor liver transplantation (LDLT) was performed to 84 end stage liver disease patients in Kyushu University. Twenty-four (28.6%) of 84 LDLTs were for fulminant hepatic failure. In Kyushu University, LDLT candidates including urgent cases were discussed with indication in the liver transplantation committee (the medical professions division and an outside-the-university committee are included) and then the coordinator committee performs informed consent. LDLT can be performed only by cooperation of each section concerned such as Transfusion part, Medicine part, Radiation part, Operation part, Intensive Care Unit and so on. In this paper, we outline about fulminant hepatic failure and living donor liver transplantation, and describe the fulminant hepatitis medical treatment organization in Kyushu University.
authors.affiliation: Department of Surgery and Medical Science, Kyushu University.
authors.forename: Taketoshi
authors.initials: T
authors.lastname: Suehiro
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Shimada
authors.forename: Keiji
authors.initials: K
authors.lastname: Kishikawa
authors.forename: Yuji
authors.initials: Y
authors.lastname: Soejima
authors.forename: Tomoharu
authors.initials: T
authors.lastname: Yoshizumi
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Maehara
authors.forename: Rie
authors.initials: R
authors.lastname: Nakao
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Hayashida
authors.forename: Makoto
authors.initials: M
authors.lastname: Nakamuta
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Honda
authors.forename: Kazuo
authors.initials: K
authors.lastname: Irita
authors.forename: Kenji
authors.initials: K
authors.lastname: Kodama
authors.forename: Shoichi
authors.initials: S
authors.lastname: Inaba
authors.forename: Takuro
authors.initials: T
authors.lastname: Taniyama
mesh_terms: D006801:Humans; D007258:Informed Consent; D007564:Japan; D017093:Liver Failure / Q000601:surgery*; D016031:Liver Transplantation / Q000706:statistics & numerical data; D019520:Living Donors; D012577:Schools, Medical / Q000458:organization & administration*