Liver Bridging Techniques in the Treatment of Acute Liver Failure

The introduction of orthotopic liver transplantation in the management of acute liver failure has dramatically increased the survival rates of patients at the cost of removing the patient's native liver and life-long dependence on immunosuppression. However, it is well known that in many patien...

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Published inJournal of investigative surgery Vol. 13; no. 6; pp. 299 - 311
Main Author Daniel Palmes, Karim A. Qayumi, Hans-Ullrich Spiegel
Format Journal Article
LanguageEnglish
Published United States Informa UK Ltd 2000
Taylor & Francis
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Abstract The introduction of orthotopic liver transplantation in the management of acute liver failure has dramatically increased the survival rates of patients at the cost of removing the patient's native liver and life-long dependence on immunosuppression. However, it is well known that in many patients with acute liver failure the diseased liver has the potential to recover. Death in these patients is often due to increased intra-cranial pressure or infection. Liver bridging techniques are assigned to temporarily provide liver function and enable the native liver to recover in patients with acute liver failure. They represent an attractive alternative to conventional liver transplantation in the management of acute liver failure, since after recovery of the native liver the patient is freed from immuno-suppression with all associated side-effects and risks. Auxiliary liver transplantation, artificial liver support devices and hepatocyte transplantation represent different ways of bridging liver function in acute liver failure. The aim of this review is to present the ideas and principles of these three different liver bridging techniques. We will discuss the relative importance and the future potential of theses bridging techniques in the treatment of acute liver failure by comparing the experimental and clinical results.
AbstractList The introduction of orthotopic liver transplantation in the management of acute liver failure has dramatically increased the survival rates of patients at the cost of removing the patient's native liver and life-long dependence on immunosuppression. However, it is well known that in many patients with acute liver failure the diseased liver has the potential to recover. Death in these patients is often due to increased intra-cranial pressure or infection. Liver bridging techniques are assigned to temporarily provide liver function and enable the native liver to recover in patients with acute liver failure. They represent an attractive alternative to conventional liver transplantation in the management of acute liver failure, since after recovery of the native liver the patient is freed from immuno-suppression with all associated side-effects and risks. Auxiliary liver transplantation, artificial liver support devices and hepatocyte transplantation represent different ways of bridging liver function in acute liver failure. The aim of this review is to present the ideas and principles of these three different liver bridging techniques. We will discuss the relative importance and the future potential of theses bridging techniques in the treatment of acute liver failure by comparing the experimental and clinical results.
Author Daniel Palmes, Karim A. Qayumi, Hans-Ullrich Spiegel
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Snippet The introduction of orthotopic liver transplantation in the management of acute liver failure has dramatically increased the survival rates of patients at the...
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SubjectTerms Hepatocytes - transplantation
Humans
Liver Bridging Auxiliary Liver Transplantation Artificial Liver Support Hepatocyte Transplantation
Liver Failure, Acute - surgery
Liver Failure, Acute - therapy
Liver Regeneration - physiology
Liver, Artificial
Recovery of Function - physiology
Title Liver Bridging Techniques in the Treatment of Acute Liver Failure
URI https://www.tandfonline.com/doi/abs/10.1080/089419300750059343
https://www.ncbi.nlm.nih.gov/pubmed/11202006
https://search.proquest.com/docview/72535510
Volume 13
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