A5072406134- Organ Transplantation Techniques and Outcomes
- Clinical Nutrition and Gastroenterology
- Liver Disease and Transplantation
- Renal Transplantation Outcomes and Treatments
- COVID-19 Clinical Research Studies
- Abdominal Surgery and Complications
- Antifungal resistance and susceptibility
- SARS-CoV-2 and COVID-19 Research
- Liver Disease Diagnosis and Treatment
- Organ and Tissue Transplantation Research
- Long-Term Effects of COVID-19
- Congenital Anomalies and Fetal Surgery
- Intestinal and Peritoneal Adhesions
- Hernia repair and management
- Transplantation: Methods and Outcomes
- Hepatitis B Virus Studies
- Hepatitis C virus research
- Liver Diseases and Immunity
- Pediatric Hepatobiliary Diseases and Treatments
- Pneumocystis jirovecii pneumonia detection and treatment
- Parasitic Infections and Diagnostics
- Parasitic infections in humans and animals
- Fungal Infections and Studies
- Organ Donation and Transplantation
- Neuroendocrine Tumor Research Advances
Shiraz University of Medical Sciences
2018-2025
Sina Hospital
2020-2025
Kermanshah University of Medical Sciences
2014
Imam Reza Hospital
2014
Liver transplantation requires lifelong immunosuppression, which has significant psychological and physiological implications. While depression anxiety are prevalent among transplant recipients, their potential relationship with immune tolerance remains unclear. This study aims to evaluate the association between depression, anxiety, in liver recipients. cross-sectional included 179 adult categorized as tolerant (n=49) non-tolerant (n=130) based on immunosuppressive status. Depression levels...
Orthotopic liver transplantation (OLT) in Budd-Chiari Syndrome (BCS)-related cirrhosis is quite technically challenging due to the difficult handling of an enlarged and congested along with risk massive intraoperative bleeding. Therefore, we aimed evaluate efficacy occluding hepatic blood inflow tract by Pringle maneuver (PM) at beginning hepatectomy phase BCS-related OLT procedure. The current retrospective study prospectively collected data was conducted between 2010 2022 our referral...
Hepatic tumors are rare in children. This study was conducted to determine the characteristics of liver masses children and identify independent predictors their survival. Medical records aged <18 years with a confirmed diagnosis hepatic tumor diagnosed between January 2008 December 2023 at two referral centers affiliated Shiraz University Sciences, southern Iran, were reviewed. There 153 tumors. The median age patients 2 (IQR, 1-5) years. Abdominal pain distension, presence palpable mass...
In this study, we report the epidemiology of COVID-19 among recipients organ transplantation and evaluate associated factors with death.We screened 6969 patients who had transplantations in our center for COVID-19. Specific data on presentation, clinical course, treatment, prognosis were acquired.We found 85 (66 liver, 16 kidney, 2 kidney-pancreas, 1 liver-kidney recipient) acquired Most common symptoms included fever (48.2%), cough (41.2%), myalgia fatigue (40%). Dyspnea developed 33%...
Objective: We described our experiences on pediatric liver transplantation (LT) from the largest LT center in world termed Shiraz Transplant Center. Background: After first successful 1967, has become routine treatment for children with failure worldwide. Methods: Data a total of 1141 cases were collected. Specifics baseline and anthropometric characteristics, clinicopathology, prognosis recipients LT, donor characteristics are reported. Results: Mean age patients was 7.83 ± 5.55 years old....
Background: Perforated appendicitis is one of the most common causes acute abdomen requiring emergent surgery for immediate appendectomy and peritoneal cavity irrigation; however, efficacy irrigation with antibiotic solutions controversial.Objectives: The aim this study was to assess imipenem solution on post-operative surgical site infections (SSIs), hospital length stay, costs.We hypothesized that there would be lower rate SSIs, a shorter cost in patients perforated who received comparison...
Abstract Background Immunosuppressed patients, including individuals with organ transplantation, have been among susceptible groups regard to COVID-19, on the other hand pediatric patients more commonly undergo a mild clinical course after acquiring COVID-19. To best of authors knowledge, this date very little data exists COVID-19 in patient liver transplantation. Case presentation We report three year-old boy who had transplantation at 18 months old. He was admitted due dyspnea impression...
Abstract Background Hepatic artery thrombosis (HAT) is one of the critical conditions after an orthotopic liver transplant (OLT) and leads to severe problems if not corrected promptly. However, multiple treatments have been proposed for HAT, in which surgical revascularization with either auto-hepatic conduit interposition (AHCI) or revision anastomosis more familiar indeed indicated some patients specific situations. In this study, we want evaluate success outcomes treating early HAT...
Introduction . Basidiobolomycosis is a rare fungal infection caused by an environmental saprophyte, Basidiobolus ranarum It usually presents as chronic subcutaneous infection; however, few cases of gastrointestinal involvement have been reported. The exact transmission route not clear, and diagnosis always requires high index suspicion because it tends to mimic other inflammatory neoplastic conditions. Case Report A 31‐year‐old immunocompetent woman presented with abdominal pain advanced...
Fungal infections are serious complications after solid organ transplantation, with high mortality and morbidity. Given the importance of local epidemiological data, also extensive prophylactic regimens in transplant (SOT) recipients, this study aimed to investigate clinical characteristics resistance patterns yeast isolates SOT recipients at a main referral center Iran. Of 275 enrolled, 22 (8%) had least one positive culture median 5 days transplantation. Bacterial infection reoperation...
For the first time, we reported experiences with an intestinal rehabilitation unit (IRU) from a country without home parenteral nutrition (HPN).We included patients diagnosis of failure (IF) since establishment our IRU February 2018 to 2020. We further report on protocols for management enterocutaneous fistulas (ECFs), short-bowel syndrome (SBS), chronic pseudo-obstruction and motility disorders.Among total 349 who have been admitted, 100 had IF were . Mean (SD) age was 46.3 ± 16.1 years....
In some cases of liver transplant, standard hepatic artery reconstruction may be difficult or impossible due to inadequate flow the recipient's artery, as a result stenosis, intimal dissection, anomalies artery. We compared splenic transposition with extra-anatomic jump graft 2 alternative methods for in these situations.We reviewed files 2135 transplant recipients from March 2011 February 2016 at Shiraz Transplant Center. Data 93 patients unusual were analyzed assess outcomes, morbidity,...
Abstract Background To this date little information exists on the effects, clinical course and outcome of COVID-19 among patients undergoing transplantation. Case presentation A 35 year old male referred with loss sense smell taste after having close contact his brother who was diagnosed five days prior to symptoms. The patient had undergone liver transplantation 3 years referral due primary sclerosing cholangitis in association ulcerative colitis using immunosuppressive medications. a local...
HIV coinfected with other parasitic diseases may cause a serious problem for the patients. A few case reports describing echinococcosis human immunodeficiency virus (HIV) infection have been reported in world; however, it has not Iran, so far. Here, first of liver hydatid cyst Iran is reported. The patient 46-year-old female HIV-positive based on laboratory report. Her clinical symptoms included abdominal pain, enlargement, and anorexia. Ultrasound showed three large hepatic cysts hundreds...
Abstract Background For the first time, we aimed to determine epidemiology and associated factors of obesity hypertension among children military families in our region. Methods In this multi-centered study, between ages 5 12 years old, entered study. Data on baseline clinical characteristics, history disease anthropometric measurements, were collected. Results Among 504 children, 44.2% males. Mean (SD) age participants was 7.9 ± 1.9 years. Overall, 5% obese 9.9% overweight. total, 16.3% had...
Introduction: Closure of the abdominal wall after solid organ transplantation (SOT) is utmost importance since an open abdomen following SOT increases morbidity and mortality. remains challenging can, amongst other, be achieved by non-vascularized rectus fascia (NVRF) transplantation. Several reports have confirmed excellent short-term outcome. However, long-term outcome unknown. With this multicenter survey we aim to analyze worldwide experience clinical NVRF Methods: This study was...
Many regions of the world, especially middle- and low-income countries, lack facilities for home parenteral nutrition thus cannot follow existing guidelines intestinal transplantation. Herein, we report our experiences with treatment protocols, intraoperative management, early postoperative outcomes among patients undergoing either isolated transplantation or multivisceral in center.During a 1-year period from March 2019 to 2020, total 9 transplantations including 6 3 were performed center....
Passenger lymphocyte syndrome (PLS) is a well-described phenomenon causing immune hemolytic anemia, mostly in non-ABO identical transplantations. The occurs when donor lymphocytes produce antibodies against the recipient's red blood cells. Although usually self-limited, further management with transfusions, immunosuppression, or plasmapheresis might be needed. A 23-year-old female AB+ group underwent small intestine transplantation from deceased O+ group. She received rituximab, thymoglobin,...