Liver transplantation with monosegment from a living donor.

The shortage of organ donors for low-weight liver transplant recipients, especially for small children, has led to the development of new surgical techniques to increase the donor pool. Almost all of these techniques use the left lateral segment (Couinaud's segments II and III), but even this graft could be too large for children under 10 kg. We report here the case of an 8-month-old boy, weighing 6.1 kg, who received a monosegmental graft (segment III) from his grandmother weighing 68 kg. The graft was reduced at the donor surgery, before clamping of the vessels. The donor was discharged on the fourth post-operative day; the recipient had an uneventful post-operative period and was discharged after 22 days.

Reidrataçäo oral (RO) nas diarréias agudas: algumas consideraçöes históricas e fisiológicas / Oral rehydration in acute diarrheas: some historical and physiological considerations

Faz-se uma revisäo sobre hidrataçäo oral nas diarréias agudas, considerando-se primordialmente os aspectos históricos e fisiológicos deste procedimento, que apesar de näo ser uma inovaçäo em Medicina, passou por várias fases de aperfeiçoamento, sendo hoje uma das maiores armas no controle da desidrataçäo, principalmente nos países subdesenvolvidos

Colestase neonatal / Neonatal cholestasis

Faz-se uma revisäo sobre colestase neonatal, mostrando as múltiplas etiologias que podem determinar esta síndrome. Abordam-se conceitos modernos sobre conduta no diagnóstico diferencial, especialmente entre hepatite neonatal e atresia de vias biliares. Descreve-se o tratamento atual centrado na nutriçäo, uso de drogas e cirurgia