单位:[1]Liver Transplantation Center, National Clinical Research Center for Digestive Diseases, Beijing Friendship Hospital, Capital Medical University, Beijing, P.R. China临床科室国家中心普外分中心普外四科(肝脏移植外科)首都医科大学附属北京友谊医院[2]Intensive Care Unit, Beijing Friendship Hospital, Capital Medical University, Beijing, P.R. China临床科室急危重症及感染医学中心重症医学科首都医科大学附属北京友谊医院[3]Beijing Key Laboratory of Tolerance Induction and Organ Protection in Transplantation, Beijing, P.R. China
Background: Progressive familial intrahepatic cholestasis (PFIC) is an autosomal recessive inherited disease that disrupts the genes for bile formation. Liver transplantation (LT) is the only effective treatment for PFIC patients with end-stage liver disease. We describe our experience in terms of clinical characteristics, complications, and outcome of LT for PFIC. Case Report: The data of 5 pediatric PFIC patients recipients (3 PFIC1, 1 PFIC2, and 1 PFIC3) who received LT at our Liver Transplant Center from June 2013 to February 2017 were retrospectively analyzed. Four patients received liver transplantation from donation after cardiac death (DCD) donors. One patient received a living donor liver transplantation (LDLT). All the LT recipients received an immunosuppressive regimen of tacrolimus (FK 506) + methylprednisolone + mycophenolate mofetil (MMF). Diarrhea did not improve in 2 PFIC1 patients after LT, and they both developed steatohepatitis several months after LT. The other PFIC1 patient received ABO blood group incompatible LT and developed biliary complications and a severe Epstein-Barr virus infection; this patient underwent endoscopic retrograde cholangiopancreatography. She recovered after treatment with ganciclovir and reduction of tacrolimus dosage. The PFIC2 patient had abnormal liver function 19 months after LT, and recovered after administration of increased dosage of immunosuppressant agents. Liver function in the PFIC3 patient was normal during 2-year follow-up. Conclusions: Liver transplantation is an effective treatment in PFIC patients. However, PFIC1 patients may develop aggravated diarrhea and steatohepatitis after LT. PFIC2 and PFIC3 patients have good outcomes after LT.
基金:
Capital Special Program for Health Research and Development [2016-1-2021]
第一作者单位:[1]Liver Transplantation Center, National Clinical Research Center for Digestive Diseases, Beijing Friendship Hospital, Capital Medical University, Beijing, P.R. China
通讯作者:
通讯机构:[2]Intensive Care Unit, Beijing Friendship Hospital, Capital Medical University, Beijing, P.R. China[3]Beijing Key Laboratory of Tolerance Induction and Organ Protection in Transplantation, Beijing, P.R. China
推荐引用方式(GB/T 7714):
Liu Ying,Sun Li-Ying,Zhu Zhi-Jun,et al.Liver Transplantation for Progressive Familial Intrahepatic Cholestasis[J].ANNALS of TRANSPLANTATION.2018,23:666-673.doi:10.12659/AOT.909941.
APA:
Liu, Ying,Sun, Li-Ying,Zhu, Zhi-Jun,Wei, Lin,Qu, Wei&Zeng, Zhi-Gui.(2018).Liver Transplantation for Progressive Familial Intrahepatic Cholestasis.ANNALS of TRANSPLANTATION,23,
MLA:
Liu, Ying,et al."Liver Transplantation for Progressive Familial Intrahepatic Cholestasis".ANNALS of TRANSPLANTATION 23.(2018):666-673