To evaluate the efficacy of stent placement in the treatment of portal vein (PV) stenosis or occlusion in living donor liver transplant (LDLT) recipients, 468 LDLT records were reviewed. Sixteen (10 PV occlusions and 6 stenoses) recipients (age range, 8 months-59 years) were referred for possible interventional angioplasty (dilatation and/or stent) procedures. Stent placement was attempted in all. The approaches used were percutaneous transhepatic (n = 10), percutaneous transsplenic (n = 4), and intraoperative (n = 2). Technical success was achieved in 11 of 16 patients (68.8%). The sizes of the stents used varied from 7 mm to 10 mm in diameter. In the five unsuccessful patients, long-term complete occlusion of the PV with cavernous transformation precluded catherterization. The mean followup was 12 months (range, 3-24). The PV stent patency rate was 90.9% (10/11). Rethrombosis and occlusion of the stent and PV occurred in a single recipient who had a cryoperserved vascular graft to reconstruct the PV during the LDLT operation. PV occlusion of >1 year with cavernous transformation seemed to be a factor causing technical failure. In conclusion, early treatment of PV stenosis and occlusion by stenting is an effective treatment in LDLT. Percutaneous transhepatic and transsplenic, and intraoperative techniques are effective approaches depending on the situation.

This study evaluated survival and growth of Cambodian field crickets (Teleogryllus testaceus) during captivity when fed a set of local weed species, agricultural and food industry by-products. Wild individuals were caught at two locations in Cambodia, kept in pens and fed commercial chicken feed until the second generation off-spring hatched. First larval stage nymphs from this generation were collected and used in a 70-day feeding trial with one control treatment (chicken feed) and 12 experimental treatments (rice bran, cassava plant tops, water spinach, spent grain, residue from mungbean sprout production, and Alternanthera sessilis, Amaranthus spinosus, Commelina benghalensis, Cleome rutidosperma, Cleome viscosa, Boerhavia diffusa and Synedrela nodiflora). The crickets were kept in plastic cages and feed intake, weight and survival of crickets were recorded weekly. Overall survival did not differ between chicken feed and the experimental treatments with the exception of crickets fed B. diffusa, which had lower survival. From day 35 to day 49, survival on A. sessilis was also lower (P<0.05) than on chicken feed. There was no difference in weight between crickets fed chicken feed, cassava tops and C. rutidosperma. However, crickets fed A. sessilis, A. spinosus and B. diffusa weighed less than those fed chicken feed already at day 21. The feed conversion rate ranged from 1.6 to 3.9 and was ≤1.9 in crickets fed chicken feed, cassava plant tops and C. rutidosperma. Thus this study shows that it is possible, using simple means, to rear Cambodian field crickets. Cassava plant tops and C. rutidosperma both have great potential as cricket feed and the other weeds, with the exception of A. sessilis, A. spinosus and B. diffusa, agricultural and food industry by-products tested, also showed potential.

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In this large, multi-center retrospective study, the albumin-bilirubin grade highlights the interplay between liver reserve and immune dysfunction as prognostic determinants in HIV-associated HCC.