Long-Term Outcomes in Pediatric Liver Transplantation

被引:42
作者
Bucuvalas, John [1 ]
机构
[1] Cincinnati Childrens Hosp, Cincinnati, OH 45229 USA
关键词
FULMINANT HEPATIC-FAILURE; CARDIOVASCULAR RISK-FACTORS; LATE GRAFT LOSS; INTERNATIONAL-SOCIETY; RENAL DYSFUNCTION; HEPATOBLASTOMA; RECIPIENTS; CHILDREN; REJECTION; ADHERENCE;
D O I
10.1002/lt.21915
中图分类号
R57 [消化系及腹部疾病];
学科分类号
100201 [内科学];
摘要
1. Critical clinical outcomes for pediatric liver transplantation (LT) recipients include (1) patient and graft survival, (2) complications (immune and nonimmune) of chronic immunosuppressive medications, and (3) long-term graft function. 2. Recurrence of malignancy, sepsis, and posttransplant lymphoproliferative disorder account for more than 65% of deaths occurring more than I year after LT. 3. Chronic rejection, late hepatic artery thrombosis, and biliary strictures account for 70% of graft loss occurring more than 1 year after LT. 4. Late histological changes in the allograft are emerging as a common problem in patients more than 5 years after LT. The pathogenesis of these findings and the impact on graft survival remain to be determined. Liver Transpl. 15:S6-S11, 2009. (C) 2009 AASLD.
引用
收藏
页码:S6 / S11
页数:6
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