Occasionally, a space occupying hepatic lesion is nothing more than a collection of bacteria and cellular debris- an abscess. Although attempts at IV antibiotics are sometimes worthwhile in the non-toxic patient, percutaneous drainage is often necessary. When you are faced with … Continue reading
The liver fibrosis panel (Hepascore; non-invasive serologic panel of fibrosis markers) is an excellent way to avoid a staging liver biopsy, but must be interpreted with caution. Similar to Fibroscan, it has excellent predictive value at very low and very high … Continue reading
Today’s lecture focused on the management of esophageal and gastric varices, from prophylaxis to the acute bleeding episode. Here are some of the highlights: – begin prophylaxis only after esophageal varices reach stage II (ie. do not flatten with insufflation) … Continue reading
Heberden’s nodes, a few casts, a little albumen, mean a few clinkers- too much stoking. We all have them after forty. Reduce meat and drink, flush the drain pipes frequently, keep early hours, and you may yet live to a … Continue reading
Intraoperative splenectomy is indicated during an ABO-incompatible liver transplant. Why? Fewer mature lymphocytes (and allograft-directed antibodies) would theoretically be present to cause cellular/antibody mediated rejection.
Mouse 1: Go ahead, you say it. Mouse 2: …okay-umm, we kind of saw the pill label and know that we’re getting the placebo, for whatever that’s worth.
Sirolimus (Rapamycin) is never given as an initial agent of immunosuppression after liver transplantation. Why? Two reasons, each a part of its side effect profile: impaired wound healing and hepatic artery thrombosis. At this center the following three agents are … Continue reading