Re: ? on transplant techniques

[Guest guest]

Barb,

I did not know if your question was

rhetorical or not, so I did not reply. The way I have been told things

from UPMC is regarding LDLT. I am sure you could ask how to do things for

a regular transplant. Slivka told us that the way to prevent recurrence is

to do the roux-en-Y and also to remove even more ducts from the recipient by

using a vessel from my (or the donor’s) leg so as to have more slack to

hook them back up. I would imagine with a cadaveric transplant there

would be the extra vessels that come with it so I don’t know that it is

necessary to do that. This may have been something they did to “fix”

the problem for LDLT. The way he talked it seemed fairly new and

something being done at few places. If you need anything else, just ask…I

don’t know much I just know what he told us in his office that day with

great confidence regarding no recurrence if you were transplanted at Starzl.

? on

transplant techniques

I’m

reposting my earlier question, looking for an answer.

Does

it make a difference HOW a transplant is done? If there is a special

technique that makes a difference, I’d sure like to know about it before Ken

goes in for his. I’ve looked for studies, articles etc. and

can’t find anything. Has any one had (or heard of) a transplant

being done in a special or different way?

By

the way, Baylor isn’t doing LDLT, they did one last year and that patient

passed away.

Barb in Texas

- Together in the Fight, Whatever it Takes!

Son Ken

(32) UC 91 - PSC 99 Listed 7/21 @ Baylor Dallas

[Guest guest]

Barb,

I did not know if your question was

rhetorical or not, so I did not reply. The way I have been told things

from UPMC is regarding LDLT. I am sure you could ask how to do things for

a regular transplant. Slivka told us that the way to prevent recurrence is

to do the roux-en-Y and also to remove even more ducts from the recipient by

using a vessel from my (or the donor’s) leg so as to have more slack to

hook them back up. I would imagine with a cadaveric transplant there

would be the extra vessels that come with it so I don’t know that it is

necessary to do that. This may have been something they did to “fix”

the problem for LDLT. The way he talked it seemed fairly new and

something being done at few places. If you need anything else, just ask…I

don’t know much I just know what he told us in his office that day with

great confidence regarding no recurrence if you were transplanted at Starzl.

? on

transplant techniques

I’m

reposting my earlier question, looking for an answer.

Does

it make a difference HOW a transplant is done? If there is a special

technique that makes a difference, I’d sure like to know about it before Ken

goes in for his. I’ve looked for studies, articles etc. and

can’t find anything. Has any one had (or heard of) a transplant

being done in a special or different way?

By

the way, Baylor isn’t doing LDLT, they did one last year and that patient

passed away.

Barb in Texas

- Together in the Fight, Whatever it Takes!

Son Ken

(32) UC 91 - PSC 99 Listed 7/21 @ Baylor Dallas

[Guest guest]

Barb,

I did not know if your question was

rhetorical or not, so I did not reply. The way I have been told things

from UPMC is regarding LDLT. I am sure you could ask how to do things for

a regular transplant. Slivka told us that the way to prevent recurrence is

to do the roux-en-Y and also to remove even more ducts from the recipient by

using a vessel from my (or the donor’s) leg so as to have more slack to

hook them back up. I would imagine with a cadaveric transplant there

would be the extra vessels that come with it so I don’t know that it is

necessary to do that. This may have been something they did to “fix”

the problem for LDLT. The way he talked it seemed fairly new and

something being done at few places. If you need anything else, just ask…I

don’t know much I just know what he told us in his office that day with

great confidence regarding no recurrence if you were transplanted at Starzl.

? on

transplant techniques

I’m

reposting my earlier question, looking for an answer.

Does

it make a difference HOW a transplant is done? If there is a special

technique that makes a difference, I’d sure like to know about it before Ken

goes in for his. I’ve looked for studies, articles etc. and

can’t find anything. Has any one had (or heard of) a transplant

being done in a special or different way?

By

the way, Baylor isn’t doing LDLT, they did one last year and that patient

passed away.

Barb in Texas

- Together in the Fight, Whatever it Takes!

Son Ken

(32) UC 91 - PSC 99 Listed 7/21 @ Baylor Dallas

[Guest guest]

Hi Barb,

Was the patient who passed away after the LDLT at Baylor last year the recipient or the donor?

mother of Joe (32) UC 1987, J-pouch 1999, PSC, acute pancreatitis 03/06

[Guest guest]

Hi Barb,

Was the patient who passed away after the LDLT at Baylor last year the recipient or the donor?

mother of Joe (32) UC 1987, J-pouch 1999, PSC, acute pancreatitis 03/06

[Guest guest]

Hi Barb,

Was the patient who passed away after the LDLT at Baylor last year the recipient or the donor?

mother of Joe (32) UC 1987, J-pouch 1999, PSC, acute pancreatitis 03/06

[Guest guest]

> Does it make a difference HOW a transplant is done? If there is a

> special technique that makes a difference, I'd sure like to know about

> it before Ken goes in for his.

I remember Ruth talking about how 's transplant was done

differently from what they would have chosen to do at Mayo, which came

up during their trip to Mayo earlier this year. What this difference

was, I'm not sure.

From the various papers posted here in the past, my understanding is

that there are at least two methods. One is the Roux-en-Y, the other

is duct-to-duct anastomosis (joining). I was surprised when they told

me that doing a biliary bypass would involve Roux-en-Y. The way it was

described to me, if you imagine the small intestine with the letters

A, B and C on it in order from the stomach down, there is a cut made

at A, which is rejoined to C, leaving the B to C stretch free to be

pulled upwards and attach to the hepatic duct, or ducts, depending on

what ducts were available out of the liver above the stricture. I

think that anastomosis has more potential problems with stenosis or

strictures at the joining.

Martha (MA)

[Guest guest]

> Does it make a difference HOW a transplant is done? If there is a

> special technique that makes a difference, I'd sure like to know about

> it before Ken goes in for his.

I remember Ruth talking about how 's transplant was done

differently from what they would have chosen to do at Mayo, which came

up during their trip to Mayo earlier this year. What this difference

was, I'm not sure.

From the various papers posted here in the past, my understanding is

that there are at least two methods. One is the Roux-en-Y, the other

is duct-to-duct anastomosis (joining). I was surprised when they told

me that doing a biliary bypass would involve Roux-en-Y. The way it was

described to me, if you imagine the small intestine with the letters

A, B and C on it in order from the stomach down, there is a cut made

at A, which is rejoined to C, leaving the B to C stretch free to be

pulled upwards and attach to the hepatic duct, or ducts, depending on

what ducts were available out of the liver above the stricture. I

think that anastomosis has more potential problems with stenosis or

strictures at the joining.

Martha (MA)

[Guest guest]

----Original

Message-----

From the various papers posted here in the past, my understanding

is that there are at

least two methods. One is the Roux-en-Y, the other is duct-to-duct

anastomosis (joining).

Love the way you explained

it, sure made it easy to understand!

I guess nothing stops the PSC from returning - if it wants to.

There is a doctor in Arkansas who

states his way of doing liver transplants is best – less complications. Instead of making a straight cut across,

he cuts a V shape in each end and says this makes the connections stronger

(less leaks). I’ll look and

see if I can show you.

Barb in Texas - Together in the Fight, Whatever it Takes!

Son Ken (32) UC 91 - PSC 99 Listed 7/21 @ Baylor Dallas

[Guest guest]

----Original

Message-----

From the various papers posted here in the past, my understanding

is that there are at

least two methods. One is the Roux-en-Y, the other is duct-to-duct

anastomosis (joining).

Love the way you explained

it, sure made it easy to understand!

I guess nothing stops the PSC from returning - if it wants to.

There is a doctor in Arkansas who

states his way of doing liver transplants is best – less complications. Instead of making a straight cut across,

he cuts a V shape in each end and says this makes the connections stronger

(less leaks). I’ll look and

see if I can show you.

Barb in Texas - Together in the Fight, Whatever it Takes!

Son Ken (32) UC 91 - PSC 99 Listed 7/21 @ Baylor Dallas

[Guest guest]

----Original

Message-----

From the various papers posted here in the past, my understanding

is that there are at

least two methods. One is the Roux-en-Y, the other is duct-to-duct

anastomosis (joining).

Love the way you explained

it, sure made it easy to understand!

I guess nothing stops the PSC from returning - if it wants to.

There is a doctor in Arkansas who

states his way of doing liver transplants is best – less complications. Instead of making a straight cut across,

he cuts a V shape in each end and says this makes the connections stronger

(less leaks). I’ll look and

see if I can show you.

Barb in Texas - Together in the Fight, Whatever it Takes!

Son Ken (32) UC 91 - PSC 99 Listed 7/21 @ Baylor Dallas