GASTROINTESTINAL BLEEDING AFTER LIVER TRANSPLANTATION1

Hepatic artery-duodenal fistula with gastrointestinal bleeding after liver transplantation.

Gastrointestinal bleeding caused by peptic ulcer or portal hypertension is a serious complication in liver transplant recipients. However, Gastrointestinal bleeding from hepatic artery origin after liver transplantation is rare. We report duodenal massive bleeding secondary to erosion of hepatic artery after liver transplantation in two patients. This was diagnosed by angiography and treated su...

Medication Compliance after Renal Transplantation1

Determinants of hyperhomocysteinemia in patients with chronic liver disease and after orthotopic liver transplantation1–3

Background: Homocysteine metabolism may be impaired in chronic liver disease, possibly contributing to fibrogenesis and disease complications. Objective: The goal was to investigate the prevalence and determinants of basal and postprandial hyperhomocysteinemia in patients with chronic liver disease and after orthotopic liver transplantation (OLT). Design: This was a cross-sectional study of 323...

Gastrointestinal bleeding.

Exsanguinating hemorrhage often results from a duodenal ulcer penetrating the posterior wall. If the patient's condition does not stabilize after replacement of 25 percent of the blood volume, surgery must be undertaken immediately. For the patient who presents in shock but becomes stable with volume replacement, endoscopy or arteriography may be performed, depending on the presumed site of ble...

Gastrointestinal Bleeding

Lower GI bleeding (LGIB) afflicts 20 to 27 of every 100,000 persons annually in the United States. The rate of LGIB increases more than 200-fold from the third to the ninth decade of life, with 25% to 35% of all cases occurring in elderly patients. It is one of the common medical emergencies that can become life-threatening in elderly patients. Risk stratification for LGIB by Strate et al. has ...