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ISSN: 2392-1099
Clinical and Experimental Hepatology
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4/2023
vol. 9
 
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abstract:
Original paper

Concomitant diverticulosis among patients undergoing liver transplantation. Does it influence the length of hospitalization after the procedure?

Tomasz Menżyk
1
,
Lubomir Skladany
2, 3
,
Svetlana Adamcova-Selcanova
2
,
Janka Vnencakova
2
,
Daniela Zilincanova
2
,
Natalia Bystrianska
2
,
Dorota Hudy
4
,
Magdalena Skonieczna
5, 6
,
Wojciech Marlicz
7
,
Michał Kukla
8, 9

  1. Department of Internal Medicine, Gastroenterology and Hematology, St. Lucas Hospital, Tarnów, Poland
  2. Department of Internal Medicine and HEGITO (Hepatology, Gastroenterology and Liver Transplantation), F.D. Roosevelt University Hospital, Banska Bystrica, Slovakia
  3. Faculty of Medicine, Slovak Medical University, Bratislava, Slovakia
  4. Department of Medical and Molecular Biology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland
  5. Department of Systems Biology and Engineering, Silesian University of Technology, Gliwice, Poland
  6. Biotechnology Centre, Silesian University of Technology, Gliwice, Poland
  7. Department of Gastroenterology, Pomeranian Medical University, Szczecin, Poland
  8. Department of Internal Medicine and Geriatrics, Faculty of Medicine, Jagiellonian University Medical College, Cracow, Poland
  9. Department of Endoscopy, University Hospital, Cracow, Poland
Clin Exp HEPATOL 2023; 9, 4: 344-350
DOI: https://doi.org/10.5114/ceh.2023.132255
Online publish date: 2023/11/13
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Aim of the study:
We tried to assess the influence of concomitant diverticulosis and other factors, e.g., Child-Pugh (C-P) and MELD scores, viral etiology, and presence of alcoholic disease, on short-term results of liver transplantation (LT) with an emphasis on duration of patient’s hospitalization.

Material and methods:
This prospective study was performed on 206 cirrhotic patients who were selected for LT. In order to assess the presence of diverticculosis we performed colonoscopy.

Results:
The duration of hospitalization after LT did not differ significantly between patients with and without diverticulosis (27.5 [21.0-33.5] vs. 24.0 [18.0-32.0] days, p = 0.28). Patients with C-P class C were hospitalized longer in comparison to the class B patients. It is reflected in the positive correlation between C-P score and days of hospitalization (r = 0.22, p = 0.002). Patients with diverticulosis were significantly older (59.6 [51.1-63.3] vs. 52.9 [43.8-59.2] years, p = 0.03). Alcoholic liver disease (ALD) was associated with a greater risk of diverticulosis (OR = 3.89, 95% CI [1.13-15.87], p = 0.04).

Conclusions:
Presence of diverticulosis among subjects undergoing LT did not influence the duration of hospitalization after the procedure. Significantly longer hospitalization was observed in patients with the most advanced liver disease according to C-P score. To determine the exact impact of diverticulosis on short-term results of LT additional studies are required.

keywords:

liver transplantation, diverticulosis, cirrhosis, Child-Pugh score, duration of hospitalization
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