Etiological analysis and treatment of jaundice after liver transplantation during mid-later stage
10.3760/cma.j.issn.0254-1785.2012.02.008
- VernacularTitle:肝移植术后中远期黄疸的原因分析与治疗
- Author:
Hong CHEN
;
Xu WANG
;
Qing ZHANG
;
Tieyan FAN
;
Yujian NIU
;
Zhongyang SHEN
- Publication Type:Journal Article
- Keywords:
Liver transplantation;
Jaundice;
Diagnosis;
Therapy
- From:
Chinese Journal of Organ Transplantation
2012;33(2):97-100
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo analyze the etiologies and diagnosis of jaundice after liver transplantation during mid later stage and summarize the experience of clinical practice.Methods822 liver transplantation patients were collected from the Department of Internal Medicine, Organ Transplantation Institute in General Hospital of Chinese People's Armed Police Forces between June 2005 and Dec.2008.The clinical data of these cases were analyzed retrospectively.ResultsAmongst 822 patients,129 experienced jaundice after liver transplantation and the occurrence of jaundice ranged from 43 days to 39 months postoperation.Total bilirubin levels were from 27.4 to 503 μmol/L.The etiologies of jaundice and its percentage were as follow:59 cases of biliary complications (45.7％),36 of rejection (27.8％ ),11 cases of virus infection (8.5％),5 cases of drug-induced hepatic injury (3.9％),4 cases of tumor recurrence (3.1％),4 cases of Gilbert syndrome (3.1％),3.cases of dysfunction of papillary muscle (2.3％),2 cases of vascellum complication (1.6％),2 cases of radiation hepatitis (1.6％),1 case of hepatapostema (0.8％),2 cases of unknown reasons (1.6％),respectively.The jaundice of most patients (93％) got released while small part of patients (7％)failed to treatment,of whom 5 cases received liver re-transplantation and 4 cases died of disease progression.ConclusionThe etiologies of jaundice after liver transplantation during mid-later stage are diversiform and complex.And the etiological diagnosis is the premise to treat effectively.
