RGD Reference Report - [Clinical efficacies of ABO-incompatible adult liver transplantation]. - Rat Genome Database

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[Clinical efficacies of ABO-incompatible adult liver transplantation].

Authors: Ju, Wei-Qiang  Zhou, Jian  He, Xiao-Shun  Wang, Dong-Ping  Wu, Lin-Wei  Guo, Zhi-Yong  Zhu, Xiao-Feng  Huang, Jie-Fu 
Citation: Ju WQ, etal., Zhonghua Yi Xue Za Zhi. 2011 Sep 27;91(36):2558-60.
RGD ID: 39938835
Pubmed: PMID:22321886   (View Abstract at PubMed)


OBJECTIVE: To evaluate the efficacy and safety of ABO-incompatible liver transplantation in adult patients with fulminant hepatitis B.
METHODS: The clinical data of 97 cases of adult liver transplantation for fulminant hepatitis B were retrospectively analyzed. The patients were grouped as ABO-identical (ABO-Id, n = 58), ABO-compatible (ABO-C, n = 19) and ABO-incompatible (ABO-In, n = 20). The rates of rejection, infection, biliary tract complications, vascular complications, and patient and graft survivals were compared among 3 groups.
RESULTS: The 3-month, 1-year and 3-year graft survival rates were 87.9%/77.6%/65.3% in ABO-Id group, 84.2%/73.7%/66.5% in ABO-C group and 50.0%/35.0%/33.3% in ABO-In group respectively. There were significant differences between ABO-Id and ABO-In (P < 0.05). The incidences of rejection, infection, vascular complications and biliary tract complications were 8.6%, 20.7%, 3.4% and 6.9% in ABO-Id group, 35%, 60%, 20% and 30% in ABO-In group (P < 0.05) and 10.5%, 26.3%, 5.3% and 10.5% respectively in ABO-C group (P > 0.05).
CONCLUSION: ABO-C liver transplantation is an important therapeutic option in adult patients with acute liver failure awaiting an emergency procedure. ABO-In transplantation can be used only for life-rescuing in patients with fulminant hepatitis since it is associated with a higher risk of rejection, infection, vascular thrombosis, ischemic bile duct complications and poor patient and graft survival.

RGD Manual Disease Annotations    Click to see Annotation Detail View
TermQualifierEvidenceWithReferenceNotesSourceOriginal Reference(s)
Acute Liver Failure treatmentIEP 39938835associated with Chronic Hepatitis B RGD 
Acute Liver Failure treatmentISOABO (Homo sapiens)39938835; 39938835associated with Chronic Hepatitis B RGD 

Objects Annotated

Genes (Rattus norvegicus)
Abo  (ABO, alpha 1-3-N-acetylgalactosaminyltransferase and alpha 1-3-galactosyltransferase)

Genes (Mus musculus)
Abo  (ABO, alpha 1-3-N-acetylgalactosaminyltransferase and alpha 1-3-galactosyltransferase)

Genes (Homo sapiens)
ABO  (ABO, alpha 1-3-N-acetylgalactosaminyltransferase and alpha 1-3-galactosyltransferase)


Additional Information