Transplantation in the hepatitis B patient and current therapies to prevent recurrence

Steven D Colquhoun, Steven H. Belle, Didier Samuel, Timothy L. Pruett, Lewis W. Teperman

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Hepatitis B is the sixth most common indication for liver transplantation in the United States, accounting for about 7% of all transplants among adults. Transplantation for hepatitis B is especially problematic because the virus is not eradicated and there is great potential for reinfection that can lead to graft failure or death. This risk is higher still in patients with active viral replication and chronic liver disease. Treatment with short-term hepatitis B immune globulin (HBIG) delays reinfection of the allograft, but only long-term treatment with HBIG has led to a decline in the reinfection rate. Combination therapy using HBIG with nucleoside analogues will likely become the standard of care to maintain stable serum titers of protective anti-HBs antibody and to prevent posttransplantation reinfection.

Original languageEnglish (US)
Pages (from-to)7-12
Number of pages6
JournalSeminars in Liver Disease
Volume20
Issue number1 SUPPL.
StatePublished - Jul 12 2000
Externally publishedYes

Keywords

  • Immunoprophylaxis
  • Liver transplantation
  • Reinfection
  • Risk factors
  • Treatment

ASJC Scopus subject areas

  • Hepatology

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  • Cite this

    Colquhoun, S. D., Belle, S. H., Samuel, D., Pruett, T. L., & Teperman, L. W. (2000). Transplantation in the hepatitis B patient and current therapies to prevent recurrence. Seminars in Liver Disease, 20(1 SUPPL.), 7-12.