Orthotopic liver transplantation for adults with Alagille syndrome

Ronen Arnon, Rachel Annunziato, Thomas Schiano, Tamir Miloh, Margaret Baisley, Hiroshi Sogawa, Alan G. Contreras, Samantha Lee, Nanda Kerkar

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Introduction: Alagille syndrome (AGS) is an inherited multisystem disorder, and liver transplantation (LT) may be required in pediatric patients with AGS (P-AGS). There are limited data regarding the outcomes of LT in adults with AGS (A-AGS). Aim: To determine and compare the outcomes of LT in A-AGS vs. P-AGS as well as A-AGS vs. adults with biliary atresia (A-BA). Methods: Adults (>18yr), with AGS and BA, and children (≤18yr), with AGS who underwent isolated first LT between 10/1987 and 5/2008, were identified from the UNOS database. Results: Forty-four of 79400 adults transplanted for AGS were compared with 407 P-AGS and 56 A-BA, respectively. A-AGS patients had a significantly higher rate of encephalopathy, lower serum albumin, and higher serum creatinine in comparison with P-AGS. One- and five-yr patient and graft survival in A-AGS who underwent LT were not significantly different in comparison with either P-AGS or A-BA (A-AGS patient survival: 95.5%, 90.9%, P-AGS: 88. 7%, 86.2%, A-BA: 89.3%, 87.5%; A-AGS graft survival: 84.1%, 79. 5%, P-AGS: 80.3%, 76%. 1%, A-BA: 82.1%, 78.6%, respectively). Conclusion: The outcome of first LT in A-AGS is excellent compared with the overall reported adult patient and graft survival. Although A-AGS were sicker than P-AGS at transplant, their outcomes were comparable with that of P-AGS.

Original languageEnglish (US)
Pages (from-to)E94-E100
JournalClinical Transplantation
Volume26
Issue number2
DOIs
StatePublished - Mar 2012
Externally publishedYes

Keywords

  • Alagille syndrome
  • Biliary atresia
  • Liver transplantation
  • Outcome
  • UNOS

ASJC Scopus subject areas

  • Transplantation

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