Safety of living-related liver transplantation for progressive familial intrahepatic cholestasis

Luisa Cutillo, Mustapha Najimi, Françoise Smets, Magda Janssen, Raymond Reding, Jean De Ville De Goyet, Etienne M. Sokal

Research output: Contribution to journalArticle

Abstract

Progressive familial intrahepatic cholestasis (PFIC) is a severe cholestatic liver disease of early life often requiring liver transplantation. Organ shortage leads to consider living-related liver transplantation. Because of possible partial metabolic defect in heterozygotes, the use of familial donors might be questionable. We therefore evaluated the safety of this procedure, for both donors and recipients. We compared a series of seven parental-children pairs, having participated in the living related liver transplant program for PFIC between 1994 and 2001, with that of a series of seven parental-children pairs, performed for biliary atresia (BA) during the same period. No primary graft dysfunction was observed. There was no difference in the course of transaminases, γ-glutamyl transpeptidase and bilirubin levels after transplantation in both donor and recipient series. Thirteen recipients and 14 donors are alive and well 3-10 yr post-surgery. One PFIC recipient died nine months post-orthotopic liver transplantation from sepsis. We conclude that PFIC heterozygote status of the donor does not increase the risk of liver dysfunction in either recipients or donors, with a similar course compared with BA recipients and donors.

Original languageEnglish
Pages (from-to)570-574
Number of pages5
JournalPediatric Transplantation
Volume10
Issue number5
DOIs
Publication statusPublished - Aug 2006

Keywords

  • Autosomal recessive
  • Biliary atresia
  • Donor shortage
  • Living-related liver transplantation
  • Progressive familial intrahepatic cholestasis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Transplantation

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