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Faculty Physicians

Yumirle Padron Turmelle, MD

Assistant Professor, Pediatrics
Division of Gastroenterology and Nutrition
Medical Director, Liver Care Center, St. Louis Children's Hospital

Specialty Areas

Pediatric Gastroenterology
Pediatric Liver Transplantation
Hepatology/Liver Disease

Board Certifications

Pediatric Gastroenterology
Pediatrics

Languages

Spanish

Areas of Clinical Interest

Pediatric liver and biliary disease, liver transplant, liver pancreas transplant, hepatic adenomatosis, 

  • Maps & Directions
  • Education
  • Publication & Research

Maps & Directions

Maps & Directions

St. Louis Children’s Hospital

1 Children’s Place
St. Louis, MO 63110

Office Phone: 314-454-6173
Fax: 314-454-2412

Education

Education

Residency: Pediatrics, Jackson Memorial Hospital, University of Miami, Miami, Fl 2003
Fellowship: Pediatric Gastroenterology and Nutrition, Washington University School of Medicine, St. Louis MO 2006
B.A. : University of Miami, Miami, FL 1996
Medical School: University of Florida College of Medicine, Gainesville, FL 2000
M.S.: Public Health, St Louis University School of Public Health, St Louis MO 2009
Fellowship: Advanced Hepatology, Washington University School of Medicine, St. Louis MO 2007

Publication & Research

Publication & Research

Medical status of 219 children with biliary atresia surviving long-term with their native livers: results from a North American multicenter consortium.
Ng VL, Haber BH, Magee JC, Miethke A, Murray KF, Michail S, Karpen SJ, Kerkar N, Molleston JP, Romero R, Rosenthal P, Schwarz KB, Shneider BL, Turmelle YP, Alonso EM, Sherker AH, Sokol RJ, Childhood Liver Disease Research and Education Network (CHiLDREN)
J Pediatr. 2014 Sep; 165(3)539-546.e2. doi: 10.1016/j.jpeds.2014.05.038.

PMID:
    25015575
    [PubMed - indexed for MEDLINE]
Related citations


Hepatic venous outflow obstruction in pediatric liver transplantation: technical considerations in prevention, diagnosis, and management.
Sommovilla J, Doyle MM, Vachharajani N, Saad N, Nadler M, Turmelle YP, Weymann A, Chapman WC, Lowell JA
Pediatr Transplant. 2014 Aug; 18(5)497-502. doi: 10.1111/petr.12277.

PMID:
    24815309
    [PubMed - indexed for MEDLINE]
Related citations


Use of corticosteroids after hepatoportoenterostomy for bile drainage in infants with biliary atresia: the START randomized clinical trial.
Bezerra JA, Spino C, Magee JC, Shneider BL, Rosenthal P, Wang KS, Erlichman J, Haber B, Hertel PM, Karpen SJ, Kerkar N, Loomes KM, Molleston JP, Murray KF, Romero R, Schwarz KB, Shepherd R, Suchy FJ, Turmelle YP, Whitington PF, Moore J, Sherker AH, Robuck PR, Sokol RJ, Childhood Liver Disease Research and Education Network (ChiLDREN)
JAMA. 2014 May 7; 311(17)1750-9. doi: 10.1001/jama.2014.2623.

PMID:
    24794368
    [PubMed - indexed for MEDLINE]
Related citations


Extrahepatic anomalies in infants with biliary atresia: results of a large prospective North American multicenter study.
Schwarz KB, Haber BH, Rosenthal P, Mack CL, Moore J, Bove K, Bezerra JA, Karpen SJ, Kerkar N, Shneider BL, Turmelle YP, Whitington PF, Molleston JP, Murray KF, Ng VL, Romero R, Wang KS, Sokol RJ, Magee JC, Childhood Liver Disease Research and Education Network
Hepatology. 2013 Nov; 58(5)1724-31. doi: 10.1002/hep.26512.

PMID:
    23703680
    [PubMed - indexed for MEDLINE]
Related citations


Management of excluded bile ducts in paediatric orthotopic liver transplant recipients of technical variant allografts.
Conzen KD, Lowell JA, Chapman WC, Darcy M, Duncan JR, Nadler M, Turmelle YP, Shepherd RW, Anderson CD
HPB (Oxford). 2011 Dec; 13(12)893-8. doi: 10.1111/j.1477-2574.2011.00394.x.

PMID:
    22081926
    [PubMed - indexed for MEDLINE]
Related citations


Biliary strictures in pediatric liver transplant recipients - early diagnosis and treatment results in excellent graft outcomes.
Anderson CD, Turmelle YP, Darcy M, Shepherd RW, Weymann A, Nadler M, Guelker S, Chapman WC, Lowell JA
Pediatr Transplant. 2010 May; 14(3)358-63. doi: 10.1111/j.1399-3046.2009.01246.x.

PMID:
    20003138
    [PubMed - indexed for MEDLINE]
Related citations


Towards minimizing immunosuppression in pediatric liver transplant recipients.
Turmelle YP, Nadler ML, Anderson CD, Doyle MB, Lowell JA, Shepherd RW
Pediatr Transplant. 2009 Aug; 13(5)553-9. doi: 10.1111/j.1399-3046.2008.01061.x.

PMID:
    19067920
    [PubMed - indexed for MEDLINE]
Related citations


Serum alpha-NH-butyric acid may predict spontaneous survival in pediatric acute liver failure.
Rudnick DA, Dietzen DJ, Turmelle YP, Shepherd R, Zhang S, Belle SH, Squires R, Pediatric Acute Liver Failure Study Group
Pediatr Transplant. 2009 Mar; 13(2)223-30. doi: 10.1111/j.1399-3046.2008.00998.x.

PMID:
    18643912
    [PubMed - indexed for MEDLINE]
Related citations


Ibuprofen-induced liver injury in an adolescent athlete.
Bennett WE Jr, Turmelle YP, Shepherd RW
Clin Pediatr (Phila). 2009 Jan; 48(1)84-6. doi: 10.1177/0009922808320797.

PMID:
    18626108
    [PubMed - indexed for MEDLINE]
Related citations


The effect of recipient-specific surgical issues on outcome of liver transplantation in biliary atresia.
Anderson CD, Turmelle YP, Lowell JA, Nadler M, Millis M, Anand R, Martz K, Shepherd RW, SPLIT Research Group
Am J Transplant. 2008 Jun; 8(6)1197-204. doi: 10.1111/j.1600-6143.2008.02223.x.

PMID:
    18444930
    [PubMed - indexed for MEDLINE]
Related citations


Prolonged neonatal jaundice and the diagnosis of biliary atresia: a single-center analysis of trends in age at diagnosis and outcomes.
Wadhwani SI, Turmelle YP, Nagy R, Lowell J, Dillon P, Shepherd RW
Pediatrics. 2008 May; 121(5)e1438-40. doi: 10.1542/peds.2007-2709.

PMID:
    18443020
    [PubMed - indexed for MEDLINE]
Related citations


Biliary atresia: a mostly preventable disease?
Turmelle YP, Shepherd RW
J Gastroenterol Hepatol. 2008 Jan; 23(1)3-4. doi: 10.1111/j.1440-1746.2007.05235.x.

PMID:
    18171336
    [PubMed - indexed for MEDLINE]
Related citations

Areas of Research Interest

Interested in analyzing molecular signals that regulate liver regeneration in a surgical murine animal model; the molecular genetic analyses of extrahepatic biliary atresia;  the prevalence and utility of specific polymorphisms in genes known or suspected to influence hepatic fibrogenesis in patients with neonatal cholestasis for predicting likelihood of progression to ESLD and liver transplantation.