Rehabilitating patients with hepatopulmonary syndrome using living-related orthotopic liver transplant: A case report
| Autor: | Takahumi Abo, Mihoko Watanabe, Susumu Satomi, Nobuhiro Ohkohchi, Tokutaro Sato, Masahiro Kohzuki, Yoko Goto |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Male
medicine.medical_specialty Adolescent medicine.medical_treatment Posture Physical Therapy Sports Therapy and Rehabilitation Walking Pulmonary Artery Liver transplantation Hypoxemia Liver disease Liver Function Tests Hypertension Portal medicine Humans Hypoxia Hepatopulmonary syndrome Exercise Tolerance medicine.diagnostic_test business.industry Rehabilitation Angiography Oxygen Inhalation Therapy medicine.disease Exercise Therapy Liver Transplantation Respiratory Function Tests Surgery Transplantation Treatment Outcome Arteriovenous Fistula Portal hypertension Blood Gas Analysis medicine.symptom business Liver function tests Complication Hepatopulmonary Syndrome |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 81:1527-1530 |
| ISSN: | 0003-9993 |
| DOI: | 10.1053/apmr.2000.9393 |
| Popis: | The objective of this study was to rehabilitate a patient with hepatopulmonary syndrome (HPS) who underwent living-related orthotopic liver transplantation (LT). HPS is rare; it presents severe complication in patients with liver disease. A 17-year-old woman with HPS developed portal hypertension after undergoing Kasai's surgery for congenital biliary atresia and underwent a living-related orthotopic LT. After LT, her allograft functioned well, but she continued to have hypoxemia and orthodeoxia. She was referred for rehabilitation for disuse atrophy, contracture of hip and shoulder joints, left common peroneal nerve palsy, and rehabilitation for respiratory dysfunction. By day 106 after LT, her orthodeoxia and disuse atrophy had improved because of daily exercise training and active joint range of motion exercises. Patients with HPS have orthodeoxia and poor responsiveness to oxygen therapy, and correction of hypoxemia after LT may be delayed. Therefore, rehabilitation approaches for patients with HPS should be based on the pathophysiology and characteristics of HPS. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|