{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T14:20:38Z","timestamp":1773498038605,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T00:00:00Z","timestamp":1709164800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Small\u2010for\u2010size syndrome (SFSS) in pediatric liver transplant recipients, particularly those weighing less than 10\u2009kg, is rare. This report describes a case of a 15\u2010month\u2010old whole liver transplant recipient who suffered SFSS, and systematic literature review was performed to identify outcomes of such cases and potential risk factors for SFSS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Presentation<\/jats:title><jats:p>A 15\u2010month\u2010old toddler with a history of biliary atresia underwent a deceased donor whole liver transplant. The graft weighed 160\u2009g, resulting in a graft\u2010to\u2010recipient weight ratio (GRWR) of 1.6%. The post\u2010operative course was complicated by SFSS, characterized by massive ascites causing hemodynamic instability and compromised hepatic artery flow. Pharmacological intervention with octreotide was initiated, and the patient eventually recovered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In small pediatric recipients, especially those weighing less than 10\u2009kg, the native liver body weight ratio (LBWR) is significantly higher. When selecting an appropriately sized graft for these recipients, this higher ratio should be taken into consideration. The literature review suggests that a GRWR of less than 2% is associated with a higher incidence of small\u2010for\u2010size syndrome in small pediatric recipients weighing less than 10\u2009kg.<\/jats:p><\/jats:sec>","DOI":"10.1111\/petr.14716","type":"journal-article","created":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T08:55:10Z","timestamp":1709196910000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Small\u2010for\u2010size syndrome in a 9.7\u2009kg pediatric recipient with a whole liver graft"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8888-3968","authenticated-orcid":false,"given":"Haytham","family":"Maria","sequence":"first","affiliation":[{"name":"Division of Transplantation, Department of Surgery University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8227-2004","authenticated-orcid":false,"given":"Pamela L.","family":"Valentino","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Pediatrics University of Washington School of Medicine, Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8977-0815","authenticated-orcid":false,"given":"Patrick J.","family":"Healey","sequence":"additional","affiliation":[{"name":"Division of Transplantation, Department of Surgery University of Washington  Seattle Washington USA"},{"name":"Division of Transplantation Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6026-5532","authenticated-orcid":false,"given":"Yong K.","family":"Kwon","sequence":"additional","affiliation":[{"name":"Division of Transplantation, Department of Surgery University of Washington  Seattle Washington USA"},{"name":"Division of Transplantation Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,29]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.HBPD.2020.06.015"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/CTR.14630"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/AJT.15609"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.4240\/WJGS.V2.I12.389"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-802900-8.00013-0"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/4687538"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/LT.20519"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/FPED.2021.629645"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00336071"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/J.1432-2277.2011.01245.X"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/PETR.13396"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JPEDSURG.2019.04.023"}],"container-title":["Pediatric Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.14716","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,30]],"date-time":"2024-08-30T09:44:19Z","timestamp":1725011059000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/petr.14716"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,29]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1111\/petr.14716"],"URL":"https:\/\/doi.org\/10.1111\/petr.14716","archive":["Portico"],"relation":{},"ISSN":["1397-3142","1399-3046"],"issn-type":[{"value":"1397-3142","type":"print"},{"value":"1399-3046","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,29]]},"assertion":[{"value":"2023-11-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e14716"}}