Long-term results of pediatric liver transplantation for autoimmune liver disease.

Details

Serval ID
serval:BIB_AF7E7254A233
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Long-term results of pediatric liver transplantation for autoimmune liver disease.
Journal
Clinics and research in hepatology and gastroenterology
Author(s)
Couchonnal E., Jacquemin E., Lachaux A., Ackermann O., Gonzales E., Lacaille F., Debray D., Boillot O., Guillaud O., Wildhaber B.E., Chouik Y., McLin V., Dumortier J.
ISSN
2210-741X (Electronic)
ISSN-L
2210-7401
Publication state
Published
Issued date
16/10/2020
Peer-reviewed
Oui
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
Autoimmune hepatitis (AIH) and primary sclerosing cholangitis (PSC) are rare indications for liver transplantation (LT) in children. The aim of the present retrospective multicenter study was to evaluate long-term outcome after LT for autoimmune liver disease in childhood.
Retrospective data from 30 children who underwent a first LT from 1988 to 2018 were collected.
The study population consisted of 18 girls and 12 boys, transplanted for AIH type 1 (n=14), AIH type 2 (n=7) or PSC (n=9). Mean age at LT was 11.8±5.2 years. The main indications for LT were acute (36.7%) or chronic end-stage liver failure (63.3%). Graft rejection occurred in 19 patients (63.3%); 6 pts required retransplantation for chronic rejection. Recurrence of initial disease was observed in 6 patients (20.0%), all of them with type 1 AIH, after a median time of 42 months, requiring retransplantation in 2 cases. Overall patient survival rates were 96.4%, 84.6%, 74.8%, 68.0%, 68.0%, 68.0% and 68.0% at 1, 5, 10, 15, 20, 25 and 30 years, respectively. Age at LT<1year (p<0.0001), LT for fulminant failure (p=0.023) and LT for type 2 AIH (p=0.049) were significant predictive factors of death.
Long-term outcome after LT for pediatric autoimmune liver disease is impaired in patients with AIH because of consistent complications such as rejection and disease recurrence.
Keywords
Auto-immune disease, Liver transplantation, Outcome, Pediatric, Survival
Pubmed
Create date
04/02/2021 13:15
Last modification date
05/02/2021 7:26
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