« on: April 30, 2016, 01:11:59 PM »
http://www.transplantation-proceedings.org/article/S0041-1345(15)00622-3/abstractPostoperative Psychiatric Complications in Living Liver DonorsH. Kimura, Y. Onishi, S. Sunada, S. Kishi, N. Suzuki, C. Tsuboi, N. Yamaguchi, H. Imai, H. Kamei, H. Fujisiro, T. Okada, M. Ishigami, Y. Ogura, T. Kiuchi, N. OzakiTransplantation Proceedings July–August, 2015Volume 47, Issue 6, Pages 1860–1865DOI: http://dx.doi.org/10.1016/j.transproceed.2015.06.021Highlights •We studied long-term data on postoperative psychiatric complications in living liver donors. •A total of 6 (4.2%) donors developed psychiatric complications after transplantation. •All subjects showed improvement in Global Assessment of Functioning (GAF) Scale. •It is important to provide long-term treatment in close coordination with transplant surgeons.AbstractBackgroundTo understand the impact of psychologic variables on donor quality of life, we studied long-term data on postoperative psychiatric complications in living liver donors. This study is a focused psychological investigation of diagnoses, treatments, and long-term clinical courses of living liver donors with psychiatric complications.MethodsOf the 142 donors who underwent live-donor liver transplantation at Nagoya University Hospital between April 2004 and July 2014, we investigated those without a history of mental illness who had developed such illness after transplantation and required psychiatric treatment.ResultsA total of 6 (4.2%) donors developed the following psychiatric complications after transplantation: major depressive disorder (n = 2), panic disorder (n = 2), conversion disorder (n = 1), and substance use disorder (n = 1). Concerning psychiatric treatment, all donors received antianxiety drugs, 3 took antidepressants, and supportive psychiatric therapy was concomitantly provided to all subjects. The average treatment period was 53.3 months. Regarding subject outcomes, 3 donors achieved remission, and the other 3 continued treatment. All subjects showed improvement in Global Assessment of Functioning Scale.ConclusionIt is important to accurately diagnose postoperative psychiatric complications and provide long-term treatment in close coordination with transplant surgeons.
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Unrelated directed kidney donor in 2003, recipient and I both well.
620 time blood and platelet donor since 1976 and still giving!
Elected to the OPTN/UNOS Boards of Directors & Executive, Kidney Transplantation, and Ad Hoc Public Solicitation of Organ Donors Committees, 2005-2011
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