Liver transplantation: The Italian experience

S. Fagiuoli, V. G. Mirante, M. Pompili, S. Gianni, G. Leandro, G. L. Rapaccini, A. Gasbarrini, R. Naccarato, L. Pagliaro, M. Rizzetto, G. Gasbarrini

Research output: Contribution to journalArticlepeer-review

Abstract

Background. Liver transplantation is the standard treatment for patients with end-stage liver disease no longer responsive to conventional medical treatment Aims. To report the long-term experience of liver transplantation in Italy. Patients and Methods. Data were obtained retrospectively by means of a multiple-item form collected from 15 Italian liver transplant centres. The filing centre was centralized. Results. A total of 3323 liver transplants were performed on 3026 patients, with a cumulative proportional survival of 72.4%. Three, 5 and 10 years'patient survival rates were 72.3%, 68.8% and 61.3%, respectively. The most common indication for liver transplantation were hepatitis B virus (± hepatitis D virus]- and hepatitis C virus-related cirrhosis (59.4%). Excellent survival rates were observed particularly in controversial indications, such as alcoholic cirrhosis, hepatitis B virus-related cirrhosis and hepatocellular carcinoma. Retransplantation was required in 8.9% of the cases. The overall prevalence of acute cellular rejection episodes was 43.5%. In our study population, primary non-function and disease recurrence were the most common causes of graft failure (28.7% and 25.4%, respectively). Infections and/or sepsis were the most common causes of death after transplantation (42%). Conclusion. This study confirms that patients with controversial indications to liver transplantation such as alcoholic cirrhosis, HBV-related cirrhosis and hepatocellular carcinoma can achieve excellent survival when properly selected.

Original languageEnglish
Pages (from-to)640-648
Number of pages9
JournalDigestive and Liver Disease
Volume34
Issue number9
DOIs
Publication statusPublished - Sep 2002

Keywords

  • Liver disease
  • Liver transplantation

ASJC Scopus subject areas

  • Gastroenterology

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