Cholestatic Liver Diseases After Liver Transplant

Clin Liver Dis. 2017 May;21(2):403-420. doi: 10.1016/j.cld.2016.12.011.

Abstract

Primary sclerosing cholangitis (PSC) and primary biliary cholangitis (PBC) are the most common cholestatic liver diseases (CLD) in adults. Liver transplant (LT) is desirable for those who progress to end-stage liver disease. CLD have become an uncommon indication for LT. PSC and PBC accounted for 7.1% of all adult LT in 2015. CLD have the best post-LT outcomes compared with other indications for LT. Disease recurrence of PSC and PBC after LT is reported in up to 37% and 43% of LT recipients, respectively. Although recurrent PBC does not affect post-LT outcomes, recurrent PSC is associated with worse post-LT survival.

Keywords: Cholestatic liver disease; Liver transplant; Outcomes; Primary biliary cholangitis; Primary sclerosing cholangitis; Recurrence.

Publication types

  • Review

MeSH terms

  • End Stage Liver Disease / surgery*
  • Graft Survival
  • Humans
  • Liver Cirrhosis, Biliary / etiology*
  • Liver Transplantation / adverse effects*
  • Postoperative Complications*
  • Recurrence