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KMID : 0356920170700030350
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Korean Journal of Anesthesiology
2017 Volume.70 No. 3 p.350 ~ p.355
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Liver transplantation in Jehovah's Witnesses: two cases report
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Jeong Ju-Young
Jee Hyeon-Sook
Koo Bon-Sung
Cho Sung-Hwan
Kim Sang-Hyun
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Abstract
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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 erythropoiesisstimulation 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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KEYWORD
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Bloodless medical and surgical procedures, Jehovah's Witnesses, Liver transplantation, Operative blood salvage
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