Orthotopic liver transplantation for graft-versus-host disease following bone marrow transplantation.

Abstract:

:Chronic graft-vs.-host disease occurs in 30%-50% of long-term survivors of allogeneic bone marrow grafts, and may eventuate in cirrhosis. In this study, a young woman, originally diagnosed as having acute myelogenous leukemia, underwent successful bone marrow transplantation but later developed graft-vs.-host disease-induced cirrhosis and recurrent variceal hemorrhage. She underwent successful orthotopic liver transplant. Her postoperative course was uncomplicated, with no evidence of rejection or recurrence of graft-vs.-host disease. As bone marrow transplantation is more widely used and survival improves, the number of patients with graft-vs.-host disease or venoocclusive disease resulting in cirrhosis is likely to increase. Hepatic transplantation should be considered for bone marrow transplant patients who develop end-stage liver disease.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Rhodes DF,Lee WM,Wingard JR,Pavy MD,Santos GW,Shaw BW,Wood RP,Sorrell MF,Markin RS

doi

10.1016/0016-5085(90)91039-9

subject

Has Abstract

pub_date

1990-08-01 00:00:00

pages

536-8

issue

2

eissn

0016-5085

issn

1528-0012

pii

0016-5085(90)91039-9

journal_volume

99

pub_type

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