Review article: management of hepatic disease following haematopoietic cell transplant.

Abstract:

:Hepatic diseases are common complications of haematopoietic cell transplant. The causes are multiple: myeloablative conditioning regimens may cause sinusoidal injury; acute and chronic graft-versus-host disease lead to damaged hepatocytes and small bile ducts; microcrystalline deposits in the gall bladder can cause biliary symptoms; drug-induced liver injury is common; and the liver may be infected by viruses and fungi during the period of severe immune suppression that follows transplant. Pre-transplant evaluation and prevention of liver injury are often more useful than treatment of deeply jaundiced patients in improving transplant outcomes. This review covers pre-transplant evaluation, common hepatobiliary problems in the six months following transplant, and hepatic problems in long-term survivors.

journal_name

Aliment Pharmacol Ther

authors

McDonald GB

doi

10.1111/j.1365-2036.2006.03001.x

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

441-52

issue

3

eissn

0269-2813

issn

1365-2036

pii

APT3001

journal_volume

24

pub_type

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