Transplants

Question 1

Orthotopic

Answer 1

The new organ is put in the same exact place

Question 2

Why are liver transplants performed?

Answer 2

to eliminate an irreversible disease

Question 3

How many liver transplants are performed in the US each year?

Answer 3

5000

Question 4

1 year survival rate after liver transplant

Answer 4

80-85%

Question 5

What causes liver diease?

Answer 5

Cirrhosis

Question 6

What leads to cirrhosis?

Answer 6

1. Hepatitis C
2. Alcoholismas well as congenital metabolic disorders, sclerosing cholantitis, Budd= Chiari syndrome and unresectable hepatoma

Question 7

What is the indication in children?

Answer 7

Biliary atresia

Question 8

Where does the bile duct get attached to after a orthotopic liver transplant?

Answer 8

Small intestine

Question 9

How long does a orthotopic liver transplant take?

Answer 9

5-6 hours

Question 10

What occurs during a pediatric orthotopic liver transplant?

Answer 10

a portion of the adult liver will be used1 adult liver can be used for 2 children

Question 11

What percent of the adult liver is removed for a pediatric living donor transplant?

Answer 11

20%

Question 12

What happens during an adult liver living donor transplant?

Answer 12

RLL removed from donor, liver regenerate and in 4-6 weeks it is functioning at 100%

Question 13

Which is a more complicated surgery, liver living donor transplant or liver orthotopic transplant?

Answer 13

liver living donor transplant

Question 14

Most common complication of liver transplants

Answer 14

hepatic artery thrombosis

Question 15

other complication of liver transplants

Answer 15

thrombus in portal vein or IVC, infection fluid collections- hematomas, ascesses, bilimas, ascitites and seromasbiliary leaks

Question 16

percent of liver’s that are rejected after a transplant

Answer 16

50-70%

Question 17

After a liver transplant, what does the hepatic artery do?

Answer 17

provide the only blood supple to the biliary tree

Question 18

What causes biliary complication?

Answer 18

thrombosis or stenosis of the hepatic artery

Question 19

When is a pancreas transplant performed?

Answer 19

type 1 diabetes with end stage renal disease

Question 20

What percent of pancreas transplantation are simultaneous pancreas-kidney transplantation

Answer 20

90%

Question 21

What happens to the patients diseased pancreas during surgery?

Answer 21

is left in place in the body

Question 22

Where is the donor’s pancreas placed in the patients body?

Answer 22

right portion of the pelvis along with a small amount of the donor’s duodenum

Question 23

Complications with pancreas transplants

Answer 23

Thrombosis
Pancreatitis
Infection
Bleeding
Rejection

Question 24

where is the donor’s kidney placed in the patient?

Answer 24

iliac fossa

Question 25

where is the renal artery located during a kidney transplant?

Answer 25

either the internal iliac artery or external iliac artery

Question 26

where is the ureter inserted during a kidney transplant?

Answer 26

into the bladder above the ureteral orifice through a submucosal tunnel in the bladder wall

Question 27

What kidney is removed from the donor for a kidney trasnplant?

Answer 27

Left because the Left Renal Vein is longer

Question 28

Where is the donor kidney placed during kidney transplant?

Answer 28

The patients right