Marginális donorok szerepe a magyar májátü ltetési programban

Translated title of the contribution: The role of marginal donors in liver transplantation. the Hungarian experience

B. Nemes, Fanni Gelley, Gergely Zádori, Dénes Görög, Imre Fehérvári, Katalin Jakab, János Fazakas, Tamás Mándli, Zsuzsa Gerlei, E. Sárváry, Attila Doros, L. Kóbori

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Availability of suitable donor organs has always limited liver transplantations. Use of marginal donors (Extended Donor Criteria) for liver transplantation is an alternative to overcome the organ shortage. The aim of this study was to analyze the characteristics of organ donation in Hungary with special regard to marginal donors. Methods. We reviewed data from donors and recipients between January 2003 and December 2008 retrospectively. Extended donor criteria were adopted from international recommendations. Results. During this period, 1078 donors were reported to the clinic. 835 (77.4%) donors were excluded from liver transplantation and 243 (22.6%) were implanted. From the 243 transplantations 40 recipients (16%) received marginal graft, 203 (84%) received non-marginal graft. Extended Donor Criteria status had no negative impact on the patient and graft survival, postoperative graft dysfunction, and other complications. Recurrence of Hepatitis C occurred earlier in those patients who received marginal graft. Conclusion. There is an increasing number of patients waiting for liver transplantation in Hungary. There is no significant difference in morbidity and mortality of patients receiving marginal or non-marginal graft. Use of marginal grafts should be avoided in Hepatitis C virus positive recipients. Acceptation of older donors for liver transplantation should be considered.

Original languageHungarian
Pages (from-to)2228-2236
Number of pages9
JournalOrvosi Hetilap
Volume150
Issue number49
DOIs
Publication statusPublished - Dec 1 2009

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Liver Transplantation
Tissue Donors
Transplants
Hungary
Tissue and Organ Procurement
Graft Survival
Hepatitis C
Hepacivirus
Transplantation
Morbidity
Recurrence
Mortality

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Nemes, B., Gelley, F., Zádori, G., Görög, D., Fehérvári, I., Jakab, K., ... Kóbori, L. (2009). Marginális donorok szerepe a magyar májátü ltetési programban. Orvosi Hetilap, 150(49), 2228-2236. https://doi.org/10.1556/OH.2009.28743

Marginális donorok szerepe a magyar májátü ltetési programban. / Nemes, B.; Gelley, Fanni; Zádori, Gergely; Görög, Dénes; Fehérvári, Imre; Jakab, Katalin; Fazakas, János; Mándli, Tamás; Gerlei, Zsuzsa; Sárváry, E.; Doros, Attila; Kóbori, L.

In: Orvosi Hetilap, Vol. 150, No. 49, 01.12.2009, p. 2228-2236.

Research output: Contribution to journalArticle

Nemes, B, Gelley, F, Zádori, G, Görög, D, Fehérvári, I, Jakab, K, Fazakas, J, Mándli, T, Gerlei, Z, Sárváry, E, Doros, A & Kóbori, L 2009, 'Marginális donorok szerepe a magyar májátü ltetési programban', Orvosi Hetilap, vol. 150, no. 49, pp. 2228-2236. https://doi.org/10.1556/OH.2009.28743
Nemes B, Gelley F, Zádori G, Görög D, Fehérvári I, Jakab K et al. Marginális donorok szerepe a magyar májátü ltetési programban. Orvosi Hetilap. 2009 Dec 1;150(49):2228-2236. https://doi.org/10.1556/OH.2009.28743
Nemes, B. ; Gelley, Fanni ; Zádori, Gergely ; Görög, Dénes ; Fehérvári, Imre ; Jakab, Katalin ; Fazakas, János ; Mándli, Tamás ; Gerlei, Zsuzsa ; Sárváry, E. ; Doros, Attila ; Kóbori, L. / Marginális donorok szerepe a magyar májátü ltetési programban. In: Orvosi Hetilap. 2009 ; Vol. 150, No. 49. pp. 2228-2236.
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AU - Fehérvári, Imre

AU - Jakab, Katalin

AU - Fazakas, János

AU - Mándli, Tamás

AU - Gerlei, Zsuzsa

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KW - Extended Donor Criteria

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KW - Recurrence of Hepatitis C

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