caa a22 4500 445797711 CHVBK 20180317145131.0 cr unu---uuuuu 170323e20111101xx s 000 0 eng 10.1007/s10620-011-1727-6 doi (NATIONALLICENCE)springer-10.1007/s10620-011-1727-6 Evaluation of Growth After Liver Transplantation in Turkish Children [Elektronische Daten] [Masallah Baran, Murat Cakir, Fatih Unal, Gokhan Tumgor, Hasan Yuksekkaya, Cigdem Arikan, Murat Kilic, Sema Aydogdu] Aims: Currently, the main interest in childhood liver transplantation (LT) is to prevent long-term complications and optimize growth. The aim of this study is to analyze (1) nutritional status in the pretransplantation period, and (2) posttransplantation growth and associated factors in children. Patients and Methods: Eighty children were included in the study. Height (Z H) and weight (Z W) Z scores were calculated before transplantation and postoperatively at the 6th month and 1st, 2nd, 3rd, 4th, and 5th year. Results: Patients' Z H and Z W scores at LT were −1.6±1.3 and −1.5±1.4, respectively. Both Z H and Z W scores increased after LT, especially in the first 6months, and then continued to rise gradually. Both reached beyond −1 Z score at 2nd year and −0.5 at 4th year. Age, primary diagnosis, total steroid dose (<1,000mg), and absence of rejection episodes had positive impact on posttransplantation growth, whereas gender, immunosuppression type, surgical complications, and presence of tumor had no impact on posttransplantation growth. Age at time of LT was negatively correlated with Z W score at 5th year (P=0.02, r=−0.43). Both Z W and Z H scores at time of LT were positively correlated with Z W and Z H scores and negatively correlated with ∆Z W and ∆Z H scores at 5th year. Conclusions: LT is not only a modern, life-saving treatment technique but also an efficient method of facilitating growth, an indispensable component of childhood and the best indicator of health. Springer Science+Business Media, LLC, 2011 Liver transplantation nationallicence Children nationallicence Growth nationallicence Baran Masallah Department of Pediatric Gastroenterology Hepatology and Nutrition, Ege University, Bornova, Izmir, Turkey aut Cakir Murat Department of Pediatric Gastroenterology Hepatology and Nutrition, Ege University, Bornova, Izmir, Turkey aut Unal Fatih Department of Pediatric Gastroenterology Hepatology and Nutrition, Ege University, Bornova, Izmir, Turkey aut Tumgor Gokhan Department of Pediatric Gastroenterology Hepatology and Nutrition, Ege University, Bornova, Izmir, Turkey aut Yuksekkaya Hasan Department of Pediatric Gastroenterology Hepatology and Nutrition, Ege University, Bornova, Izmir, Turkey aut Arikan Cigdem Department of Pediatric Gastroenterology Hepatology and Nutrition, Ege University, Bornova, Izmir, Turkey aut Kilic Murat Organ Transplantation Center, Kent Hospital, Izmir, Turkey aut Aydogdu Sema Department of Pediatric Gastroenterology Hepatology and Nutrition, Ege University, Bornova, Izmir, Turkey aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/11(2011-11-01), 3343-3349 0163-2116 56:11<3343 2011 56 10620 https://doi.org/10.1007/s10620-011-1727-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-011-1727-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Baran Masallah Department of Pediatric Gastroenterology Hepatology and Nutrition, Ege University, Bornova, Izmir, Turkey aut NATIONALLICENCE 700 1- Cakir Murat Department of Pediatric Gastroenterology Hepatology and Nutrition, Ege University, Bornova, Izmir, Turkey aut NATIONALLICENCE 700 1- Unal Fatih Department of Pediatric Gastroenterology Hepatology and Nutrition, Ege University, Bornova, Izmir, Turkey aut NATIONALLICENCE 700 1- Tumgor Gokhan Department of Pediatric Gastroenterology Hepatology and Nutrition, Ege University, Bornova, Izmir, Turkey aut NATIONALLICENCE 700 1- Yuksekkaya Hasan Department of Pediatric Gastroenterology Hepatology and Nutrition, Ege University, Bornova, Izmir, Turkey aut NATIONALLICENCE 700 1- Arikan Cigdem Department of Pediatric Gastroenterology Hepatology and Nutrition, Ege University, Bornova, Izmir, Turkey aut NATIONALLICENCE 700 1- Kilic Murat Organ Transplantation Center, Kent Hospital, Izmir, Turkey aut NATIONALLICENCE 700 1- Aydogdu Sema Department of Pediatric Gastroenterology Hepatology and Nutrition, Ege University, Bornova, Izmir, Turkey aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/11(2011-11-01), 3343-3349 0163-2116 56:11<3343 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer