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Orthotopic liver transplantation in glycogen storage disease type la: Perioperative glucose and lactate homeostasis
Wilke, M. V. M. B., De Kleine, R. H., Wietasch, J. K. G., Van Amerongen, C. C. A., Blokzijl, H., Van Spronsen, F. J., Schwartz, I. V. D. & Derks, T. G. J., 25-Feb-2016, In : Journal of Inborn Errors of Metabolism and Screening. 4Research output: Contribution to journal › Article › Academic › peer-review
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Orthotopic liver transplantation in glycogen storage disease type la: Perioperative glucose and lactate homeostasis. / Wilke, Matheus V. M. B.; De Kleine, Ruben H.; Wietasch, J.K.G.; Van Amerongen, Cynthia C. A.; Blokzijl, Hans; Van Spronsen, Francjan J.; Schwartz, Ida V. D.; Derks, Terry G. J.
In: Journal of Inborn Errors of Metabolism and Screening, Vol. 4, 25.02.2016.Research output: Contribution to journal › Article › Academic › peer-review
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TY - JOUR
T1 - Orthotopic liver transplantation in glycogen storage disease type la: Perioperative glucose and lactate homeostasis
AU - Wilke, Matheus V. M. B.
AU - De Kleine, Ruben H.
AU - Wietasch, J.K.G.
AU - Van Amerongen, Cynthia C. A.
AU - Blokzijl, Hans
AU - Van Spronsen, Francjan J.
AU - Schwartz, Ida V. D.
AU - Derks, Terry G. J.
PY - 2016/2/25
Y1 - 2016/2/25
N2 - Glycogen storage disease type 1a (GSD 1a) is a rare inborn error of metabolism. It causes severe fasting intolerance and lactic acidosis due to the deficiency of glucose-6-phosphatase enzyme. Blood glucose and lactate concentrations from 2 patients with GSD 1a were retrospectively compared to a control group of patients with familial amyloid polyneuropathy. Carbohydrate intake and infusions were compared to experimental data based on stable isotope studies. Perioperative lactate concentrations were significantly higher in our 2 patients with GSD 1a (median 15.0 mmol/L; range 9.9-22.0 mmol/L) versus 8 controls. In one patient, despite normal blood glucose concentrations, lactate acidosis was probably caused by a combination of the disease itself, insufficient (par)enteral carbohydrate intake, Ringer lactate infusions, and circulatory insufficiency. Patients with GSD 1a carry an increased risk of lactic acidosis during orthotopic liver transplantation compared to non-GSD patients. Multidisciplinary perioperative care is essential to prevent significant complications.
AB - Glycogen storage disease type 1a (GSD 1a) is a rare inborn error of metabolism. It causes severe fasting intolerance and lactic acidosis due to the deficiency of glucose-6-phosphatase enzyme. Blood glucose and lactate concentrations from 2 patients with GSD 1a were retrospectively compared to a control group of patients with familial amyloid polyneuropathy. Carbohydrate intake and infusions were compared to experimental data based on stable isotope studies. Perioperative lactate concentrations were significantly higher in our 2 patients with GSD 1a (median 15.0 mmol/L; range 9.9-22.0 mmol/L) versus 8 controls. In one patient, despite normal blood glucose concentrations, lactate acidosis was probably caused by a combination of the disease itself, insufficient (par)enteral carbohydrate intake, Ringer lactate infusions, and circulatory insufficiency. Patients with GSD 1a carry an increased risk of lactic acidosis during orthotopic liver transplantation compared to non-GSD patients. Multidisciplinary perioperative care is essential to prevent significant complications.
KW - Familial amyloid polyneuropathy
KW - Glucose blood
KW - Glycogen storage disease type la
KW - Hypoglycemia
KW - Lactic acidemia
KW - Liver transplantation
KW - glucose
KW - lactic acid
KW - adult
KW - article
KW - bleeding
KW - carbohydrate intake
KW - clinical article
KW - controlled study
KW - female
KW - glucose homeostasis
KW - glycogen storage disease type 1
KW - glycogen storage disease type 1a
KW - human
KW - hypoglycemia
KW - lactic acidosis
KW - liver transplantation
KW - male
KW - priority journal
KW - retrospective study
KW - young adult
U2 - 10.1177/2326409816649599
DO - 10.1177/2326409816649599
M3 - Article
VL - 4
JO - Journal of Inborn Errors of Metabolism and Screening
JF - Journal of Inborn Errors of Metabolism and Screening
SN - 2326-4098
ER -
ID: 118535296