Review
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Transplant. Sep 26, 2019; 9(5): 94-102
Published online Sep 26, 2019. doi: 10.5500/wjt.v9.i5.94
Review of abdominal solid organ transplantation in Jehovah’s Witness patients
Rodrigo S Figueiredo, Rohan G Thakkar, Paul R Ainley, Colin H Wilson
Rodrigo S Figueiredo, Rohan G Thakkar, Paul R Ainley, Colin H Wilson, Department of Hepato-pancreatico-biliary and Transplant Surgery, Freeman Hospital, Newcastle upon Tyne NE7 7DN, United Kingdom
Author contributions: All authors contributed to this work.
Conflict-of-interest statement: The authors declare no conflict of interests for this article.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Rohan G Thakkar, DNB, FRCS (Ed), MBBS, MRCS. Senior Clinical Fellow, Department of Hepato-pancreatico-biliary and Transplant Surgery, Freeman Hospital, Freeman Road, Newcastle upon Tyne NE7 7DN, United Kingdom. rgt316@doctors.org.uk
Telephone: +44-191-2448285 Fax: +44-191-2231191
Received: June 22, 2019
Peer-review started: June 23, 2019
First decision: August 2, 2019
Revised: August 14, 2019
Accepted: September 13, 2019
Article in press: September 16, 2019
Published online: September 26, 2019
Abstract

Managing blood loss in Jehovah’s Witness (JW) patients is a matter of controversy. These patients will not accept transfusions of red blood cells, white blood cells, platelets or plasma, even if that is required to save their lives. There are many discussions regarding safety of operating upon JW patients in general surgical procedures, but in solid organ transplantation there is a paucity of literature on this subject. We have reviewed individual case reports and small series documenting on experience with solid organ transplantation in JW patients and the strategies adopted to facilitate that. It is clear that such patients require the surgical team to dedicate more time to ensure their safe management. This begins with a thorough, detailed consent of exactly which products and interventions they will or will not accept. Planning must begin weeks before surgery if possible. Each case must be assessed individually, but provided they meet fitness requirements, there are no absolute contraindications to abdominal organ transplantation.

Keywords: Anaemia, Blood transfusion, Informed consent, Jehovah’s Witness, Transplantation

Core tip: There is a fairly limited global experience in solid organ transplantation in Jehovah’s Witness patients. We have reviewed and consolidated the literature available in addition to reviewing blood products administration in Jehovah’s Witness patients undergoing solid organ transplantation. We have also highlighted the complexity of the consent and pre-operative planning involved prior to solid organ transplantation in these patients.