Key Word(s): 1. Liver Transplant; 2. Cause of death; 3. Sepsis; 4. Waiting list; Presenting Author: TING GAO Additional Authors: QIGEN LI, DEKAI QIU, YIYAN FENG, JIACHANG CHI, SIYUE WANG, SHIYAO CHEN, YULAN QIU, QIANG XIA, HAI LI Corresponding Author: TING GAO Affiliations: Shanghai Jiao Tong University School of Medicine Objective: To assess the performance of the Milan, two different moderate expanded criteria in patients undergoing liver transplantation with hepatitis B virus associated hepatocellular carcinoma based on preoperative evaluations which was seldom reported. Methods: Using a prospectively collected transplant database, consecutive patients with hepatitis B

virus related hepatocellular carcinoma undergoing liver transplantation between 2005 and 2009, were assessment. Overall survival and tumor recurrence rates of patients beyond Milan criteria Ku-0059436 in vivo but within expanded criteria were compared to patients within Milan criteria by using the log-rank test. Results: Overall survival rates of the entire group at 1-, 3- and 5-year posttransplant was 86.5%, 77.6% and 73.1%, respectively, and tumor recurrence rates were 15.5%, 23.0%, and 23.0%, respectively. Of 148 recruitments, 88 were fulfilled the Milan criteria, meanwhile 24 and 39 were beyond Milan but within two expanded criteria, respectively, according to preoperative

evolution. After follow-up (44-month median), overall survival rates were not significantly different between patients within MCE Milan criteria and newly eligible patients by either Fudan or Hangzhou criteria (P = 0.35). Recurrence rates were significantly worse for new patients meeting SB525334 order expanded criteria compared to patients within Milan criteria (P = 0.003). Conclusion: The Milan criteria should be applied as the preferred policy of hepatitis B virus related hepatocellular carcinoma with cirrhosis. Moderate

expansion of Milan criteria must be done cautiously considering high tumor recurrence rates and donor scarcity, until high-quality clinical trial proved it doesn’t significant impairment of both survival and tumor recurrence rates. Key Word(s): 1. Milan criteria; 2. transplantation; 3. Fudan criteria; 4. Hangzhou criteria; Presenting Author: CARLOS HIDALGO Additional Authors: HERNÁNDEZ RAÚL, FERNANDEZJUAN CARLOS, RAMIREZ ECTOR, FRANCISCODE LA CRUZ VARGAS, PAULINA MONTAÑO Corresponding Author: CARLOS HIDALGO Affiliations: University of Guanajuato; University of Guanauato; General Hospital Objective: It is frequent that in gastrointestinal surgery, in particular when there was a intestinal reconnection to maintain the fasting for tree to seven days. Some authors has demonstrated that early enteral diet shows clinic and metabolic improvement. Methods: Observational of reconstructed cohorts. Eighteen years old patients admitted to emergency room or elective surgery that made some intestinal anastomosis.