Brief Reports
Copyright ©2005 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. May 14, 2005; 11(18): 2789-2791
Published online May 14, 2005. doi: 10.3748/wjg.v11.i18.2789
Dextrose in the banked blood products does not seem to affect the blood glucose levels in patients undergoing liver transplantation
Kwok-Wai Cheng, Chao-Long Chen, Yu-Fan Cheng, Chia-Chih Tseng, Chih-Hsien Wang, Yaw-Sen Chen, Chih-Chi Wang, Tung-Liang Huang, Hock-Liew Eng, King-Wah Chiu, Shih-Hor Wang, Chih-Che Lin, Tsan-Shiun Lin, Yueh-Wei Liu, Bruno Jawan
Kwok-Wai Cheng, Chao-Long Chen, Yu-Fan Cheng, Chia-Chih Tseng, Chih-Hsien Wang, Yaw-Sen Chen, Chih-Chi Wang, Tung-Liang Huang, Hock-Liew Eng, King-Wah Chiu, Shih-Hor Wang, Chih-Che Lin, Tsan-Shiun Lin, Yueh-Wei Liu, Bruno Jawan, Department of Anesthesiology and Liver Transplantation Program, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Taiwan China Chang Gung University, Ta-pei, Taiwan, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Bruno Jawan MD, Department of Anesthesiology, Chang Gung Memorial Hospital Ta-Pei Rd. 123, Niao Shung Hsiang, Kaohsiung, Taiwan, China. jawanb@hotmail.com
Telephone: +886-7-7317123 Fax: +886-7-7320142
Received: November 19, 2004
Revised: November 20, 2004
Accepted: November 29, 2004
Published online: May 14, 2005
Abstract

AIM: Hyperglycemia commonly seen in liver transplantation (LT) has often been attributed to the dextrose in the storage solution of blood transfusion products. The purpose of the study is to compare the changes of the blood glucose levels in transfused and non-transfused patients during LT.

METHODS: A retrospective study on 60 biliary pediatric patients and 16 adult patients undergoing LT was carried out. Transfused pediatric patients were included in Group I (GI), those not transfused in Group II (GII). Twelve adult patients were not given transfusion and assigned to Group III (GIII); whereas, four adult patients who received massive transfusion were assigned to Group IV (GIV). The blood glucose levels, volume of blood transfused, and the volume of crystalloid infused were recorded, compared and analyzed.

RESULTS: Results showed that the changes in blood glucose levels during LT for both non-transfused and minimally transfused pediatric groups and non-transfused and massively-transfused adult groups were almost the same.

CONCLUSION: We conclude that blood transfusion does not cause significant changes in the blood glucose levels in this study.

Keywords: Organ; Liver surgery; Transplantation; Anesthesia; General monitoring; Blood glucose transfusion; Bank blood component; Infusion; 5% dextrose in 1/4 saline.