Assessing Survival Outcomes of Simultaneous Liver-Kidney Versus Liver Alone Transplantation in the Era of the 2017 OPTN Policy

Assessing Survival Outcomes of Simultaneous Liver-Kidney Versus Liver Alone Transplantation in the Era of the 2017 OPTN Policy

This analysis of over 63,000 US liver transplants reveals that simultaneous liver-kidney transplantation (SLKT) confers significant survival benefit only in patients with severe renal dysfunction (eGFR <30), with no advantage in those with better pretransplant kidney function. The 2017 OPTN policy reduced SLKT procedures without compromising survival, supporting stage-specific organ allocation and the 'Safety Net' approach.
Unveiling Postpancreatectomy Hemorrhage: Bleeding Sources, Cryptogenic Events, and Predictors of Severity from a Large Cohort Analysis

Unveiling Postpancreatectomy Hemorrhage: Bleeding Sources, Cryptogenic Events, and Predictors of Severity from a Large Cohort Analysis

This study of 1,722 pancreaticoduodenectomies identifies key bleeding sources and predictors for severe postpancreatectomy hemorrhage, highlighting the roles of bile leak and infection in patients with pancreatic fistula and redefining cryptogenic hemorrhage as a lower-risk subgroup.