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Liver Transplantation for Progressive Familial Intrahepatic Cholestasis

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单位: [1]Liver Transplantation Center, National Clinical Research Center for Digestive Diseases, Beijing Friendship Hospital, Capital Medical University, Beijing, P.R. China [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
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关键词: Cholestasis Intrahepatic Diarrhea Liver Transplantation

摘要:
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.

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出版当年[2017]版:
大类 | 4 区 医学
小类 | 4 区 外科 4 区 移植
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 外科 4 区 移植
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出版当年[2016]版:
Q3 SURGERY Q4 TRANSPLANTATION
最新[2023]版:
Q3 SURGERY Q3 TRANSPLANTATION

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2016版] 出版当年五年平均[2012-2016] 出版前一年[2015版] 出版后一年[2017版]

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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
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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
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