title: Simultaneous or sequential gastrectomy in pediatric liver transplant recipients.
abstract: The association between LT and gastrectomy is not common. Only two studies reported the gastrectomy/LT association in children. Here, we report three children who underwent LT who required a concomitant or sequential gastrectomy for different reasons. Patient 1, a 16-yr-old boy, during the LT, underwent a partial gastrectomy due to extensive injury to the duodenum. He had a previous and unusual portoenterostomy performed in the duodenum. Bowel reconstruction was performed using an intestinal loop that was first used for the bilio-enteric anastomosis and then connected to the gastric stump. Patient 2, a 22-month-old female child, underwent a partial gastrectomy with a Roux-en-Y reconstruction during a retransplantation. She had a large perforated gastric ulcer blocked by the allograft liver. Patient 3, a 26-month-old male child, five yr after living donor LT, was submitted to a partial gastrectomy because of gastric outlet obstruction. The histopathology was compatible with eosinophilic gastritis. The association between LT and gastrectomy in the pediatric population is extremely rare. Appropriate knowledge of the previous transplantation technique is very important. Further studies are required to assess the outcomes of the different types of gastric reconstruction in pediatric recipients.
authors.affiliation: Hepatology and Liver Transplantation, Hospital Sirio-Libanes, Sao Paulo, SP, Brazil.|A. C. Camargo Cancer Center, Sao Paulo, SP, Brazil.
authors.forename: Karina M O
authors.initials: KM
authors.lastname: Roda
authors.affiliation: Hepatology and Liver Transplantation, Hospital Sirio-Libanes, Sao Paulo, SP, Brazil.|A. C. Camargo Cancer Center, Sao Paulo, SP, Brazil.
authors.forename: Eduardo A
authors.initials: EA
authors.lastname: Fonseca
authors.affiliation: Hepatology and Liver Transplantation, Hospital Sirio-Libanes, Sao Paulo, SP, Brazil.|A. C. Camargo Cancer Center, Sao Paulo, SP, Brazil.
authors.forename: Helry L
authors.initials: HL
authors.lastname: Candido
authors.affiliation: Hepatology and Liver Transplantation, Hospital Sirio-Libanes, Sao Paulo, SP, Brazil.|A. C. Camargo Cancer Center, Sao Paulo, SP, Brazil.
authors.forename: Marcel R
authors.initials: MR
authors.lastname: Benavides
authors.affiliation: Hepatology and Liver Transplantation, Hospital Sirio-Libanes, Sao Paulo, SP, Brazil.|A. C. Camargo Cancer Center, Sao Paulo, SP, Brazil.
authors.forename: Rogerio C
authors.initials: RC
authors.lastname: Afonso
authors.affiliation: Hepatology and Liver Transplantation, Hospital Sirio-Libanes, Sao Paulo, SP, Brazil.|A. C. Camargo Cancer Center, Sao Paulo, SP, Brazil.
authors.forename: Renata
authors.initials: R
authors.lastname: Pugliese
authors.affiliation: Hepatology and Liver Transplantation, Hospital Sirio-Libanes, Sao Paulo, SP, Brazil.|A. C. Camargo Cancer Center, Sao Paulo, SP, Brazil.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Vincenzi
authors.affiliation: Hepatology and Liver Transplantation, Hospital Sirio-Libanes, Sao Paulo, SP, Brazil.
authors.forename: Paulo
authors.initials: P
authors.lastname: Chapchap
authors.affiliation: Hepatology and Liver Transplantation, Hospital Sirio-Libanes, Sao Paulo, SP, Brazil. joaoseda@gmail.com.|A. C. Camargo Cancer Center, Sao Paulo, SP, Brazil. joaoseda@gmail.com.
authors.forename: Joao
authors.initials: J
authors.lastname: Seda Neto
mesh_terms: D000293:Adolescent; D000713:Anastomosis, Roux-en-Y / Q000379:methods; D000714:Anastomosis, Surgical; D002675:Child, Preschool; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007223:Infant; D017093:Liver Failure / Q000601:surgery*; D016031:Liver Transplantation / Q000009:adverse effects* / Q000379:methods*; D008297:Male; D012086:Reoperation; D012189:Retrospective Studies
chemical_list: D007166:Immunosuppressive Agents
keywords: children; gastrectomy; live donation; liver transplantation