Liver transplantation in Jehovah's Witnesses -two cases report-
- Authors
- Jeong, Ju-Young; Jee, Hyeon Sook; Koo, Bon-Sung; Cho, Sung-Hwan; Kim, Sang-Hyun; Kim, GaabSoo
- Issue Date
- Jun-2017
- Publisher
- 대한마취통증의학회
- Keywords
- Bloodless medical and surgical procedures; Jehovah's Witnesses; Liver transplantation; Operative blood salvage
- Citation
- Korean Journal of Anesthesiology, v.70, no.3, pp 350 - 355
- Pages
- 6
- Journal Title
- Korean Journal of Anesthesiology
- Volume
- 70
- Number
- 3
- Start Page
- 350
- End Page
- 355
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/7507
- DOI
- 10.4097/kjae.2017.70.3.350
- ISSN
- 2005-6419
2005-7563
- Abstract
- Liver transplantation is especially challenging in patients who are Jehovah's Witnesses because their religious beliefs prohibit the receipt of blood products. We present two cases of living donor liver transplantation performed in adult Jehovah's Witnesses in South Korea without the use of blood products. In the first case, preoperative erythropoiesis-stimulation therapy increased hemoglobin levels from 8.1 to 13.1 g/dl after 9 weeks. In the second case, hemoglobin levels increased from 7.4 to 10.8 g/dl after 6 months of erythropoiesis-stimulation therapy. With the combination of acute normovolemic hemodilution, intraoperative cell salvage, and use of transfusion alternatives, liver transplantation was successfully performed without transfusion of blood products.
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Collections - College of Medicine > Department of Anesthesiology > 1. Journal Articles
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