摘要
BACKGROUND:Chronic hepatitis B virus infection is one of the major causes of liver cirrhosis worldwide, especially in Asia. Liver transplantation for the end-stage liver disease with hepatitis B virus (HBV) is commonly complicated by the recurrence of HBV. The present study was designed to evaluate lamivudine in the prevention and treatment of re- current HBV after liver transplantation. METHODS: Seventeen patients with HBV-related liver dis- ease in a total of 41 patients have received liver transplanta- tion at our hospital since 2001. All the patients were HBV positive before transplantation, 5 of them had acute liver failure. Artificial liver was used in 4 patients with acute liver failure. All of the patients received lamivudine at a dose of 100 mg/d after liver transplantation. Lamivudine and HBIg therapy were given to 3 patients. RESULTS: Liver transplantation was successfully performed in all 17 patients. Three patients died of complications 3-6 months after the transplantation. One patient withdraw from lamivudine therapy and died of liver failure at 14 months after the transplantation. Thirteen patients were followed up from 6 to 18 months. Two viremic patients had HBV recurrence shortly after the transplantation. Two viremic patients who had received HBIg and lamivudine af- ter the transplantation had no evidence of HBV recurrence. CONCLUSIONS: Lamivudine therapy is effective in pre- venting HBV recurrence after liver transplantation. The re- currence of HBV is closely related to HBV DNA status be- fore liver transplantation.
BACKGROUND:Chronic hepatitis B virus infection is one of the major causes of liver cirrhosis worldwide, especially in Asia. Liver transplantation for the end-stage liver disease with hepatitis B virus (HBV) is commonly complicated by the recurrence of HBV. The present study was designed to evaluate lamivudine in the prevention and treatment of re- current HBV after liver transplantation. METHODS: Seventeen patients with HBV-related liver dis- ease in a total of 41 patients have received liver transplanta- tion at our hospital since 2001. All the patients were HBV positive before transplantation, 5 of them had acute liver failure. Artificial liver was used in 4 patients with acute liver failure. All of the patients received lamivudine at a dose of 100 mg/d after liver transplantation. Lamivudine and HBIg therapy were given to 3 patients. RESULTS: Liver transplantation was successfully performed in all 17 patients. Three patients died of complications 3-6 months after the transplantation. One patient withdraw from lamivudine therapy and died of liver failure at 14 months after the transplantation. Thirteen patients were followed up from 6 to 18 months. Two viremic patients had HBV recurrence shortly after the transplantation. Two viremic patients who had received HBIg and lamivudine af- ter the transplantation had no evidence of HBV recurrence. CONCLUSIONS: Lamivudine therapy is effective in pre- venting HBV recurrence after liver transplantation. The re- currence of HBV is closely related to HBV DNA status be- fore liver transplantation.
