Simultaneous liver-kidney transplantation for glycogen storage disease type IA (von Gierke's disease)

Glycogen storage disease type Ia (GSDIa) is due to the deficiency of glucose-6-phosphatase activity in the liver, kidney, and intestine. Although significant progress has been achieved in the management of patients with GSDIa, complications still emerge. The potential for development of liver adenom...

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Veröffentlicht in:Transplantation proceedings 2004-06, Vol.36 (5), p.1483-1484
Hauptverfasser: Panaro, F, Andorno, E, Basile, G, Morelli, N, Bottino, G, Fontana, I, Bertocchi, M, DiDomenico, S, Miggino, M, Saltalamacchia, L, Ghinolfi, D, Bonifazio, L, Jarzembowski, T.M, Valente, U
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container_end_page 1484
container_issue 5
container_start_page 1483
container_title Transplantation proceedings
container_volume 36
creator Panaro, F
Andorno, E
Basile, G
Morelli, N
Bottino, G
Fontana, I
Bertocchi, M
DiDomenico, S
Miggino, M
Saltalamacchia, L
Ghinolfi, D
Bonifazio, L
Jarzembowski, T.M
Valente, U
description Glycogen storage disease type Ia (GSDIa) is due to the deficiency of glucose-6-phosphatase activity in the liver, kidney, and intestine. Although significant progress has been achieved in the management of patients with GSDIa, complications still emerge. The potential for development of liver adenomatosis and kidney failure makes these patients candidates for simultaneous liver-kidney transplantation (SLKT). Herein, we describe such a transplantation in a patient affected by this rare storage disease. A 25-year-old female patient with GSDIa developed hepatic adenoma and kidney failure despite dietary therapy. The patient underwent an SLKT from a cadaveric donor. The operative time was 8 hours without hemotransfusion. Only a transitory lactic acidosis was observed. Laboratory results normalized on postoperative day 7. The patient was discharged on postoperative day 9. After 4 months, the patient is in good condition with well-functioning kidney and liver allografts. Patients with end-stage renal disease secondary to GSDIa should be considered for SLKT, especially when the disease is in an early stage.
doi_str_mv 10.1016/j.transproceed.2004.05.070
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subjects Adult
Female
Glycogen Storage Disease Type I - pathology
Glycogen Storage Disease Type I - surgery
Hepatectomy
Humans
Kidney Transplantation
Liver - pathology
Liver Transplantation
Renal Dialysis
Treatment Outcome
title Simultaneous liver-kidney transplantation for glycogen storage disease type IA (von Gierke's disease)
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