Clinical and Morphologic Diagnostic Assessments of Liver Diseases After Liver Transplant.

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  • Author(s): Ilyassova B;Ilyassova B; Yenin Y; Baymakhanov B; Doskhanov M
  • Source:
    Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation [Exp Clin Transplant] 2018 Mar; Vol. 16 Suppl 1 (Suppl 1), pp. 89-94.
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Bas̜kent University Country of Publication: Turkey NLM ID: 101207333 Publication Model: Print Cited Medium: Internet ISSN: 2146-8427 (Electronic) Linking ISSN: 13040855 NLM ISO Abbreviation: Exp Clin Transplant Subsets: MEDLINE
    • Publication Information:
      Original Publication: [Ankara] : Bas̜kent University, c2003-
    • Subject Terms:
      Biliary Tract Diseases/*diagnosis ; Liver/*pathology ; Liver Diseases/*diagnosis ; Liver Transplantation/*adverse effects; Adolescent ; Adult ; Allografts ; Biliary Tract Diseases/etiology ; Biliary Tract Diseases/pathology ; Biopsy ; Child ; Diagnosis, Differential ; Female ; Humans ; Kazakhstan ; Liver Diseases/etiology ; Liver Diseases/pathology ; Male ; Middle Aged ; Predictive Value of Tests ; Recurrence ; Risk Factors ; Time Factors ; Treatment Outcome ; Young Adult
    • Abstract:
      Objectives: At the National Scientific Center of Surgery named A. Syzganova, more than 100 liver transplants have been conducted from 2012 to November 2017. Survival and quality of life of patients in the posttransplant period largely depend on the compliance of patients, monitoring of complications, cause of liver disease, the severity of the condition of patients in the pretransplant period, and the technical features of the operation. The aims of the study were to analyze the results of liver biopsy in patients after liver transplant and to evaluate the value of morphologic studies of the liver for the diagnosis of complications in the posttransplant period.
      Materials and Methods: Liver transplant recipients undergoing liver biopsy between 2012 and 2017 were analyzed. Our study included 40 liver biopsies in 29 patients after orthotopic liver transplant who fulfilled the inclusion criteria.
      Results: In 51.7% of cases in patients (that is, in 15 of 29 patients), biopsy data revealed changes characteristic of rejection. Biliary complications were found in 10.34% of patients, recurrent liver diseases were confirmed in 17.24% of patients, 3.45% of patients had confirmed cholangitis, and 6.90% of patients were diagnosed with liver steatosis.
      Conclusions: Histopathology assessment of allograft liver biopsies plays an important role in the differential diagnosis of posttransplant complications and in identifying the cause of graft damage; having this information can lead to the appropriate therapeutic intervention.
    • Publication Date:
      Date Created: 20180313 Date Completed: 20180918 Latest Revision: 20181023
    • Publication Date:
      20231215
    • Accession Number:
      10.6002/ect.TOND-TDTD2017.O35
    • Accession Number:
      29528000