Prevention and treatment of hepatitis B recurrence after liver transplantation

Hepatobiliary Pancreat Dis Int. 2003 Nov;2(4):500-3.

Abstract

Objective: To study the efficacy of liver transplantation on end-stage hepatitis B related liver diseases, and the prevention and treatment strategies of hepatitis B recurrence after the transplantation.

Methods: The efficacy of combined treatment of lamivudine and hepatitis B immune globulin (HBIG) therapy on 24 patients who had received liver transplantation was retrospectively studied.

Results: All the 24 patients with end-stage hepatitis B-related liver diseases treated with lamivudine alone or combined therapy of lamivudine and HBIG showed normal liver function and 21 of them lost hepatitis B virus (HBV) markers. However, the remaining 3 patients became HBsAg positive again soon after liver transplantation.

Conclusions: Liver transplantation is effective for patients with end-stage hepatitis B-related liver diseases. Combined treatment of lamivudine and HBIG may prevent the recurrence of hepatitis B after the operation.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Drug Therapy, Combination
  • Female
  • Graft Rejection
  • Graft Survival
  • Hepatitis B, Chronic / diagnosis
  • Hepatitis B, Chronic / prevention & control*
  • Hepatitis B, Chronic / therapy*
  • Humans
  • Immunoglobulins / therapeutic use*
  • Lamivudine / therapeutic use*
  • Liver Function Tests
  • Liver Transplantation / adverse effects*
  • Liver Transplantation / methods
  • Male
  • Middle Aged
  • Prognosis
  • Retrospective Studies
  • Risk Assessment
  • Sampling Studies
  • Secondary Prevention
  • Severity of Illness Index
  • Treatment Outcome

Substances

  • Immunoglobulins
  • Lamivudine
  • hepatitis B hyperimmune globulin