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Cavocavostomy liver transplant

Infrahepatic vena cavocavostomy, a modification of the piggyback technique for liver transplantation We describe our experience with a modification of the piggyback (PB) technique for orthotopic liver transplantation in which the donor infrahepatic vena cava is used as the venous outflow tract Background: Traditional piggyback implantation has often been used in liver transplant; however, this technique may be hindered by difficult visualization and postoperative incidences of outflow obstruction. Side-to-side cavocavostomy is an alternative approach, but perioperative outcomes associated with this technique remain largely unknown

Orthotopic liver transplantation (OLT) with resection of the inferior vena cava (IVC) is associated with hemodynamic instability, 1, 2, 3 due to a substantial decrease in venous backflow to the heart and reduction in renal flow. 1, 4, 5 The original technique was modified by Calne and Williams 6 and subsequently by Tzakis et al 7 to preserve the IVC (piggyback technique), thus maintaining venous return to the heart Salvage with a Secondary Infrahepatic Cavocavostomy of the Occluded Modified Piggyback Anastomosis during Split Liver Transplantation: A Case Report. Kinaci E(1), Kayaalp C(2), Yilmaz S(2), Otan E(2) Conclusions: Side-to-Side Cavo-Cavostomy during piggyback liver transplantation has proven to be a safe and straightforward procedure, which can be performed even in a re-transplantation setting. In our experience this technique has shown a very low incidence of venous outflow obstruction Venous outflow obstruction is a rare but potentially lethal complication after orthotopic liver transplantation (OLT) with the piggyback technique. 1 - 4 When the stricture involves the vena cava alone, the most common findings are lower extremity edema, renal failure, hypotension, and decreased cardiac output

1 . Perkins JD. The evolution of caval implantation in liver transplantation. Liver Transpl 2007;13:466-467. 2 . Quintini C, Miller CM, Hashimoto K, Philip D, Uso TD, Aucejo F, et al. Side-to-side cavocavostomy with an endovascular stapler: rescue technique for severe hepatic vein and/or inferior vena cava outflow obstruction after liver transplantation using the piggyback technique Caution: this video contains operation room footage and may be unsuitable or offensive to viewers. Please use discretion when viewing There were no signs of liver cirrhosis and the MELD score was 19. Her height was 157 cm and her weight 72 kg. CT scanning of the liver and surrounding vascular structures including the vena cava showed no abnormalities. After one year on the waiting list, transplantation could be performed. During transplantation the side-to-side cavocavostomy. This video is primarily intended for transplant providers, and other referring physicians, though others interested in liver transplantation may find the video interesting. We originally began to use the side-to-side cavocavostomy technique as a response to hepatic outflow problems that we saw on occasion with either the bicaval or piggyback.

Infrahepatic vena cavocavostomy, a modification of the

  1. Following orthotopic liver transplantation (OLT) technical complications still account for the loss of about 10% of grafts [ 1 ], the majority of complications occurring at the site of the anastomoses. The standard type of inferior vena cava (IVC) anastomosis is an end‐to‐end cavocavostomy [ 2] after excision of the recipient cava
  2. Piggyback transplantation with side-to-side cavocavostomy is an ideal technique for right split liver allograft implantation. Lerut J(1), de Ville de Goyet J, Donataccio M, Reding R, Otte JB. Author information: (1)Department of Digestive Surgery, University Hospital St-Luc, Catholic University of Louvain, Brussels, Belgium
  3. Traditional piggyback implantation has often been used in liver transplant; however, this technique may be hindered by difficult visualization and postoperative incidences of outflow obstruction. Side-to-side cavocavostomy is an alternative approach, but perioperative outcomes associated with this technique remain largely unknown
  4. VIDEO: U-M Transplant Center's Cavocavostomy Technique . Liver Transplant for Complicated Cases. Michigan Medicine is one of only 20 programs in the country that offers liver transplant for hilar cholangiocarcinoma (bile duct cancer) approved by United National Organ Sharing , which involves complicated multi-modality therapy before the.

Impact of side-to-side cavocavostomy versus traditional

Side-to-Side Cavocavostomy in Adult Piggyback Liver

Occasionally, ligate and divide several of the short caudate venous branches to allow for more length on the infrahepatic vena cava. This decision depends in part on the plan for implantation (piggyback, caval replacement, or cavocavostomy). Preparation of the vena cava may be variable at this point C. Quintini, C. M. Miller, K. Hashimoto et al., Side-to-side cavocavostomy with an endovascular stapler: rescue technique for severe hepatic vein and/or inferior vena cava outflow obstruction after liver transplantation using the piggyback technique, Liver Transplantation, vol. 15, no. 1, pp. 49-53, 2009 In certain cases, removal of the cava is not necessary. In these cases, the caudate lobe is dissected free by dividing the short hepatic veins individually, leaving the recipient's cava in place... Merenda R, Gerunda GE, Neri D, et al: Infrahepatic termi- dynamic instability during cross-clamping of the IVC in the nolateral cavocavostomy as a rescue technique in complicated case of a liver transplantation with preservation of the modified piggyback liver transplantation. J Am Coll Surg 185: recipient vena cava A right lobe liver graft is the only consideration for live donation; In the described case, what are the option(s) for establishing venous outflow while performing a deceased donor transplant? Side‐to‐side cavocavostomy; Caval replacement; Piggyback hepatic vein anastomosis; Side‐to‐side cavocavostomy or caval replacemen

Salvage with a Secondary Infrahepatic Cavocavostomy of the

  1. o liver transplantation with end-to-side infrahepatic vena cavocavostomy. Journal of the American College of Surgeons . 2001;192(2):237-240
  2. Infrahepatic cavocavostomy: Expanding the armamentarium for the liver transplant surgeon Infrahepatic cavocavostomy: Expanding the armamentarium for the liver transplant surgeon Perkins, James D. 2009-10-01 00:00:00 Infrahepatic vena cavocavostomy, a modification of the piggyback technique for liver transplantation. Khanmoradi K, Defaria W, Nishida S, Levi D, Kato T, Moon J, et al. Am Surg.
  3. Piggy‐back liver transplantation is a useful technical variant of orthotopic liver transplantation. Its success can, however, be compromised by severe stenosis or obstruction of the recipient's inferior vena cava at the level of the anastomosis. A technique is described ‐ side‐to‐side cavocavostomy‐ to resolve this difficult intraoperative situation

Read Triangular and self‐triangulating cavocavostomy for orthotopic liver transplantation without posterior suture lines: a modified surgical technique, Transplant International on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips Salvage with a Secondary Infrahepatic Cavocavostomy of the Occluded Modified Piggyback Anastomosis during Split Liver Transplantation: A Case Repor liver transplant programs have focused on the use of organs from donors that Leadership Charles Miller, MD Program and Surgical Director, Liver Transplant eghtesad B, Vogt D, fung J. Side-to-side cavocavostomy with an endovascular stapler: Rescue technique for severe hepatic vein and/or inferior vena cava outflow obstructio Liver transplant • Piggy back cavocavostomy • Bakri balloon. Case Report . Management of Hepatic Venous Outlet Obstruction with . Placement of Bakri Balloon. Samir John Sahay* and Dinesh Sharma. Department of HPB &Transplant Surgery, Royal Free NHS Foundation Trust, London. Abstract. Hepatic Venous outflow obstruction can rarely but.

Side to Side Cavocavostomy in Piggy Back Adult Liver

  1. Liver transplantation (LT) represents the best treatment for end-stage chronic liver disease, acute liver failure and early stages of hepatocellular carcinoma. Radiologists should be aware of surgical techniques to distinguish a normal cavocavostomy during the piggy-back technique significantly de.
  2. The cavocavostomy was accomplished using modified piggyback end-to-side technique. The suprahepatic end of the graft IVC was oversewn. The infrahepatic IVC constituted the outflow of the graft, and was sutured to the recipient's left-sided IVC end-to-side. All published experience with liver transplant in situs inversus adult recipients.
  3. Free. Introduction: Conventional liver transplantation (CLTx) without venovenous bypass (VVB) remains controversial in the setting of impaired cardiac and renal function. The purpose of this study is to identify the incidence, potential risk factors, and outcomes of intraoperative cardiac arrest (ICA) in adults undergoing CLTx without VVB

After detailed consultation and counselling with the patient and her family, she underwent orthotopic liver transplantation from an identical blood group A Rh+ cadaveric donor. The donor liver was implanted by use of a modified piggyback technique with side-to-side cavocavostomy Abstract: After the first successful human liver transplant in 1967 by Dr. Thomas Starzl at the University of Colorado Health Science Center, the techniques, medicine and technology continued to improve. Liver transplantation is a lifesaving surgery, however, it is not immune to complications. Patient co-morbidities, quality of the graft, surgical procedure and postoperative management all. ed piggyback liver transplantation, Journal of the American College of Surgeons ,vol. ,pp. , . [] C. Quintini, C. M. Miller, K. Hashimoto et al., Side-to-side cavocavostomy with an endovascular stapler: rescue technique for severe hepatic vein and/or inferior vena cava out ow obstruction a er liver transplantation using the piggybac Multivisceral Transplantation.—. MVTx is an allograft containing small bowel and stomach in continuity. A full MVTx includes en-bloc transplantation of the stomach, duodenum, pancreas, small bowel, and liver ( Fig 3 ). A modified MVTx does not transplant the liver ( Fig 4) ( 5, 7, 18 ). Figure 3 patient and her family, she underwent orthotopic liver transplantation from an identical blood group A Rh+ cadaveric donor. The donor liver was implanted by use of a modified piggyback technique with side-to-side cavocavostomy. At operation the macroscopic appearance of the patient's native liver was normal. She mad

Side‐to‐side cavocavostomy with an endovascular stapler

  1. Belghiti et al Liver Transplantation 2001 Routinely used with transient cross-clamping of IVC or in case of difficulty in disconnecting the liver from IVC or to perform the upper caval anastomosis As a consequence it has been routinely performed with VVB Is feasible to perform in almost all cases without VVB Margerit et al Transpl Int 199
  2. Diffuse splanchnic venous thrombosis (DSVT), formerly defined as contraindication for liver transplantation (LT), is a serious challenge to the liver transplant surgeon. Portal vein arterialisation, cavoportal hemitransposition and renoportal anastomosis, and finally combined liver and small bowel transplantation are all possible alternatives to deal with this condition
  3. International Liver Transplant Society : April 2012 - Present : Provider Documentation Council : 2011 - Present : Fellow of the American College of Surgeons : M. B., Lee, J. T.-A., Gedaly, R. (March 2012). (2012). Thrombectomy and cavocavostomy for inferior vena cava thrombosis and torsion after piggyback liver transplantation
  4. Infrahepatic vena cavocavostomy, a modification of the piggyback technique for liver transplantation. Kamran Khanmoradi, Werviston DeFaria, Seigo Nishida, David Levi, Tomoaki Kato, Jang Moon.

Infrahepatic cavocavostomy: Expanding the armamentarium

Liver transplantation (LT) has become an accepted therapy for acute and chronic end-stage liver diseases and the early stages of hepatocellular carcinoma (HCC). 1 Although initial efforts were unsuccessful, after several years of improvements in surgical techniques and the introduction of new immunosuppressive agents, LT currently has a 5-year survival rate of approximately 75%. 2-4 Deceased. Transplantation. 2020 Nov; 104 (11):2403-2414 View PubMed; Lee TL, Dhar VK, Cortez AC, Morris MC, Winer LK, Silski LS, Cuffy MC, Diwan TS, Quillin RC, Shah SA. Impact of side-to-side cavocavostomy versus traditional piggyback implantation in liver transplantation Surgery. 2020 Liver volume. The basic assumption for success of a LDLT or a SLT is the realization of adequate liver parenchyma for both the recipient and the donor [ 21, 22].Total liver volume is reported to have a relatively constant relation to body weight, ranging between 2-2.7% in healthy subjects [ 23].Indeed, a large deviation of the real liver volume was observed and a differentiated calculation. The method of liver transplantation at the Queen Elizabeth Hospital, Birmingham, United Kingdom, evolved during 2001-2002 from standard OLT to a modified piggyback technique (MPT) with side-to-side cavocavostomy. The back table procedure for MPT involves an additional step of closure of the upper and lower ends of the IVC

Liver Transplant: Cavocavostomy - YouTub

23 Liver Transplantation Using a Cavocavostomy Christopher J. Sonnenday Section VIII Liver Transplantation—Portal Vein Reconstruction 24 Portal Vein Reconstruction during Liver Transplantation Joseph F. Magliocca 25 Management of Portal Vein Thrombosis Ashish Singhal, Flavio Paterno, and Shimul A. Sha Hepatic Artery thrombosis remains one of the major causes of graft failure and mortality in liver transplant recipients. Urgent re-transplantation has been considered as mainstay therapy; however, even with re-transplantation mortality of more than 50% has been reported by many series ) Understanding fibrinolysis shutdown in liver transplantation .Americas Hepato-Pancreato-Biliary Association, Miami, FL. Dhar VK, Cortez AR, Jung AD, et al (03-2018. ) Impact of side-to-side cavocavostomy versus traditional piggyback implantation in liver transplant .Americas Hepato-Pancreato-Biliary Association, Miami, FL Salvage with a Secondary Infrahepatic Cavocavostomy of the Occluded Modified Piggyback Anastomosis during Split Liver Transplantation: A Case Report By Erdem Kinaci, Cuneyt Kayaalp, Sezai Yilmaz and Emrah Ota Split liver transplantation (SLT) was introduced to alleviate the organ shortage. 1,2 After an initial learning period, 3 the results have improved so that comparable morbidity and graft and patient survival rates have been reported with the use of either split or whole liver for transplantation (). 3-22 These results are due to substantial refinements in definition of the optimal donors and.

Thoracoabdominal bypass graft with liver retransplantation for the treatment of a pseudoaneurysm of the supraceliac aorta after liver transplantation. Verzaro R, Nishida S, Angelis M, Khan F, Tzakis A. Pediatr Transplant. 2001 Feb;5(1):64-8. Domino liver transplantation with end-to-side infrahepatic vena cavocavostomy Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society, , 26 (5 ) ,673-680 More Information Diwan, Tayyab S; Cuffy, Madison C; Linares-Cervantes, Ivan; Govil, Amit (2020 Results of end-to-end cavocavostomy during adult liver transplantation. The right to refuse: Role of leukocytes in hemostasis during orthotopic liver transplantation: Role of transarterial chemoembolization for hepatocellular carcinoma before liver transplantation with special consideration of tumor necrosis The experience with laterolateral cavocavostomy for hepatovenous reconstruction in liver transplantation is reviewed with and without the use of a temporary portocaval shunt. springer. All rotational studies were conducted by selective cannulation of the vessel supplying the lesion.

Case on Patient with a Stenosis of the Cavocavostomy After

  1. Dr. Tayyab S. Diwan is a general surgeon in Rochester, Minnesota. He received his medical degree from Case Western Reserve University School of Medicine and has been in practice between 11-20 years
  2. Salvage with a Secondary Infrahepatic Cavocavostomy of the.
  3. cessful outcome of a liver transplantation. It is important to identify vascular anomalies side-to-side cavocavostomy piggyback is the only way of incorporating the accessory veins. Orguc et al [2] described in 100 consecutive cases of live donor liver operations th
  4. Case on A Patient with Biliary Strictures in One-Half of the Liver After Liver Transplantation. Pages 153-157. Kazemier, Geert, M.D. (et al.) Preview Buy Chapter 25,95 € Case on Patient with a Stenosis of the Cavocavostomy After Liver Transplantation. Pages 159-161. Kazemier, Geert, M.D. (et al.).
  5. Table of Contents page: HPB. Volume 20 Supplement 1 S1-S172. Abstracts of the Americas Hepato-Pancreato-Biliary 2018 Annual Meeting, March 7-11, Miami Beach, Florida, USA. Open Archive. Current Issue. Articles in Press. Archive. Archive. Close

Orthotopic liver transplantation in situs inversus adult from an ABO-incompatible donor with situs inversus. Salvage with a Secondary Infrahepatic Cavocavostomy of the Occluded Modified Piggyback Anastomosis during Split Liver Transplantation: A Case Report The hepatectomy in the recipient is performed as for an orthotopic liver transplantation with preservation of the inferior vena cava. The orifices of the middle and left hepatic veins are oversewn or stapled; the right hepatic vein is directly anastomosed to the stump of the right hepatic vein or to a wider orifice in the recipient's vena cava Case Studies of Postoperative Complications after Digestive Surgery offers a systematic description of the most frequent complications occurring in the GI, HPB and Colorectal tracts of the digestive system. Every complication, from esophageal to the rectum, is described systematically by means of practical cases Comment on: Bariatric surgery before, during, and after liver transplantation: a systematic review and meta-analysis. Tayyab S. Diwan> ;Surgery for Obesity and Related Diseases. 2020 Jul 13 We are transplant surgeons first, bariatric surgeons second BACKGROUND This study aimed to quantify the learning curve of piggyback liver transplantation and to identify factors that impact the operative time and blood transfusion during the learning curve. METHODS A retrospective review was performed on consecutive cases of patients' first piggyback liver transplantations that were performed by a single surgeon

Liver Transplant - Cavocavostomy Readabl

Supported by a growing number of studies and case reports in the literature, perioperative use of TEE in non-cardiac cases has significantly increased the past two decades. The utility of TEE in mo.. The liver transplant program is the only program in the region and performs more than 60 liver transplants per year with excellent results. Our research program focuses on understanding utilization and clinical care patterns of patients and improving the care of post transplant recipients. Impact of side-to-side cavocavostomy versus.

And then after that obviously, you know, a transplant is not a cure, but it's a much better quality of life. It's a scary thing to think of your child being sick, and it's a scary thing to think of a heart beating outside of the chest, but we're proof that it helps, and it made him .so much stronger just in like less than two weeks. The surgical technique used in liver transplantation has undergone constant evolution in an effort to develop a safe, highly standardized procedure. Despite this, the initial step of recipient hepatectomy has not been the focus of clinical research thus far. Due to advanced coagulopathy in liver transplant recipients, this part of the operation still carries the risk of severe hemorrhage

Minimal criteria for placement of adults on the liver transplant waiting list: a report of a national conference organized by the American Society of Transplant Physicians and the American Association for the Study of Liver Diseases. Transplantation. 1998 Oct 15; 66(7):956-62. PMID: 9798717 Domino Liver Transplantation with End-to-Side Infrahepatic Vena Cavocavostomy Seigo Nishida, MD, Antonio Pinna, MD, Roberto Verzaro, MD, David Levi, MD, Tomoaki Kato, MD, Jose R Nery, MD, Shinji Yamamoto, MD, Rajender K Reddy, MD, Phillip Ruiz, MD, Andreas G Tzakis, MD, FACS Domino liver transplantation from donors with familia a whole liver gra and one patient a reduced liver gra (segments I, IV VIII). e gra was implanted using a large laterolateral cavocavostomy. Side-to-end CPHT between the infrahepatic IVC of the recipient and donor PV was per-formed four times. is anastomosis was done directly ( = 2) or using a venous iliac extension gra ( =2 ). Successful Heart and Liver Transplantation in a Swiss Patient With Glu89Lys Transthyretin Amyloidosis Transthyretin (TTR) amyloidosis (MIM 176300) is the most common a side-to-side cavocavostomy with tem-poraryportocavalshunt.Initialreperfu-sion followed arterial reconstruction. Reperfusion was tolerated, and liver ap

Objectives: The piggyback hepatic vein reconstruction and orthotopic liver transplantation (PBOLT) is a technique of liver transplantation that leaves the recipient inferior vena cava (IVC) intact, often avoiding the use of venovenous bypass (VVBP). Our study investigated whether patient morbidity and mortality after PB-OLT was comparable to that of the standard technique of orthotopic. The experience with laterolateral cavocavostomy for hepatovenous reconstruction in liver transplantation is reviewed with and without the use of a temporary portocaval shunt. A total of 65 liver transplantations were analyzed. In 49 transplantations a laterolateral cavocaval anastomosis was performed (group I) Liver transplantation (LT) is the treatment of choice for patients with end-stage chronic liver disease, early stages of liver cancer and fulminant hepatic failure. Over the past 4 decades, the surgical technique has evolved significantly, with a concomitant fall in morbidity and mortality [1]. Initially man after liver transplant using a multilayered stent. HAP is a rare but well-recognised complication occurring after orthotopic liver transplantation (OLT). The reported inci-dence is 0.3% to 2.6% [1, 2]. The majority of cases of HAP occurring after OLT arise in the context of endovascular intervention or secondary to diathermy injury to the.

Triangular and self‐triangulating cavocavostomy for

Graft Calcification Caused by a Torsion of the Hepatic Vein after a Living-Related Donor Liver Transplantation. Jeng Kuo-Shyang * Huang Chun-Chieh ** Lin Cheng-Kuan *** Lin Chien-Chu *** Chen Kuo-Hsin *. Once the patient started antiviral treatment, the viral load decreased rapidly while on the waiting list. All patients were evaluated for liver and renal functions immunosuppressive drug trough levels, CPK before (T0), as well as at 1 month (T1), and 3 months after liver transplant (T3). All patients received a CNI-based regimen

Piggyback transplantation with side-to-side cavocavostomy

Results: Of 290 liver transplant patients, 50% (n = 145) underwent side-to-side cavocavostomy, while the remainder underwent traditional piggyback. There were no differences in recipient age, sex, race, Model for End-Stage Liver Disease score, or donor characteristics between groups 26. Jaundice and Hepatic Failure after Major Hepatic Resection.- 27. Biliary Leakage and Abscess after Liver Resection.- 28. A Patient with Biliary Strictures in One Half of the Liver after Liver Transplantation.- 29. Patient with a Stenosis of the Cavocavostomy after Liver Transplantation.- 30. CBD Lesion during Laparoscopic Cholecystectomy.- 31 This study describes an optimized storage protocol currently in use at a high-volume liver transplant center. Twenty-nine allogeneic vascular graft tissues obtained during cardiovascular surgery or from cadaveric donors were stored respectively in sterile 50 mL of Ringer lactate solution, without any preservation solutions or antimicrobials, at.

Case Studies Of Postoperative Complications After Digestive Surgery Literatura obcojęzyczna już od 1127,33 zł - od 1127,33 zł, porównanie cen w 1 sklepach. Zobacz inne Literatura obcojęzyczna Liver Transplantation to Giant Hepatic Neuroendocrin Tumor: hakan sozen File received 1-PO24 Early Urinary Complications in Renal Transplantation: A Potential Risk Factor for Allograft Rejection Side to Side Cavocavostomy in Piggy Back Adult Liver Transplantation: Donatella Pisaniello File received.

The results of end-to-end cavocavostomy during adult liver transplantation were analyzed with special regard to caval complications. In a series of 1000 liver transplants, we observed 17 patients who suffered from postoperative caval obstruction (6 patients) or caval stenosis (11 patients), for an incidence of 1.7% Liver Anesthesiology and Critical Care Medicine.pdf - Free ebook download as PDF File (.pdf), Text File (.txt) or read book online for free Liver Transplantation as Life Saving Procedure after Iatrogenic Injuries and Liver Failure after Resection: Trygve Thorsen Side to Side Cavocavostomy in Piggy Back Adult Liver Transplantation: Donatella Pisaniello Archivo recibido 23-PO32 Successful Use of Plasma Exchange to Prevent Recurrence of C3 Glomerulonephritis after Kidney.

Ex Situ Splitting of the Liver: The Versatile Paul BrousseBack-Table Preparation of the Liver for TransplantationPatient with bile duct cancer receives rare transplantLiver transplant: Living donor right lobe (recipientAdvances in Liver Transplant Surgery - YouTubeLiver transplant: Living donor right hepatectomy (donor

Piggyback transplantation with side-toside cavocavostomy is an ideal technique for right split liver allograft implantation. J Am Coll Surg 1994 ; 179 : 573-576 [16] Lerut J, Gordon RD, Iwatsuki S, Esquivel CO, Todo S, Tzakis A et al. Biliary tract complications in human orthotopic liver transplantation Domino liver transplantation from donors with familial amyloidotic polyneuropathy (FAP) is becoming an accepted part of current clinical practice.1 In this procedure, the liver is removed from a patient with FAP and is transplanted into a recipient. The main disadvantage of this procedure is the possibility of the recipient developing FAP some 20 or 30 years after the transplantation.1. Surgical complications after primary nephrectomy for Wilms' tumor: report from the National Wilms' Tumor Study Group Michael L Ritchey, Robert C Shamberger, Gerald Haase, Jeffrey Horwitz, Tracy Bergemann, Norman E Breslo -- The Aging Liver and the Effects of Long Term Caloric Restriction / David G. Le Couteur, David A. Sinclair, Victoria C. Cogger, Aisling C. McMahon and Alessandra Warren, et al. -- Food Restriction, Hormones, Genes and Aging / Arthur V. Everitt, Holly M. Brown-Borg, David G. Le Couteur and Andrzej Bartke -- Hormesis as a Mechanism for the Anti.