首页|Unsuccessful treatment of four patients with acute graft-vs -host disease after liver transplantation

Unsuccessful treatment of four patients with acute graft-vs -host disease after liver transplantation

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AIM: To investigate appropriate therapeutic strategies for graft-vs -host disease (GVHD) following liver transplantation. METHODS: Four patients who developed GVHD after liver transplantation in West China Hospital were included in this study. Therapeutic strategies with augmentation or withdrawal of immunosuppressants combined with supportive therapy were investigated in these patients. In addition, a literature review of patients who developed GVHD after liver transplantation was performed. RESULTS: Although a transient response to initial treatment was detected, all four patients died of complications from GVHD: one from sepsis with multiple organ failure, one from gastrointestinal bleeding, and the other two from sepsis with gastrointestinal bleeding. Few consensuses for the treatment of GVHD after liver transplantation have been reached. CONCLUSION: New and effective treatments are required required for GVHD after liver transplantation to improve the prognosis of patients with this diagnosis.

Graft-vs -host diseaseImmunosuppressantImmunosuppressionLiver transplantationTreatment

Xiao-Bo Chen、Jie Yang、Ming-Qing Xu、Tian-Fu Wen、Lu-Nan Yan

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Department of Liver and Vascular Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China

2012

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子:1.001
ISSN:1007-9327
年,卷(期):2012.18(1)
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