Source:http://linkedlifedata.com/resource/pubmed/id/18675101
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2008-8-4
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pubmed:abstractText |
The indications for liver transplantation among patients with post-hepatitis B virus (HBV)-related cirrhosis have changed over the past 35 years. We reviewed the long-term results of 47 patients treated with liver transplantation for HBV-related cirrhosis. Patients were classified into 3 groups according to the perioperative regimen. In the initial experience, no immunoprophylaxis was adopted (no-IP; n=5). From 1988-1996, an immunoprophylaxis scheme was adopted (HBIg; n=16). From 1997-2007, we adopted the combination of lamivudine and HBIg (LAM-HBIg; n=26). We calculated the prevalence of serological reinfection and patient survival at 1 to 20 years, using the 3 regimens. The recurrence rate was 75% in the group of untreated patients; 30% in the HBIg group; and 9% in the LAM-HBIg group. The overall survival was 67% at 5 years, and 64% at 10 and 20 years. The long-term survival for each of the 3 therapeutic approaches, namely, for the patients who did not receive any treatment, for the HBIg group, and for the LAM-HBIg group, were 20%, 50%, and 84%, respectively. We suggest to use the LAM-HBIg combination.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0041-1345
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
40
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1961-4
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pubmed:meshHeading |
pubmed-meshheading:18675101-Adult,
pubmed-meshheading:18675101-Aged,
pubmed-meshheading:18675101-Hepatitis B,
pubmed-meshheading:18675101-Humans,
pubmed-meshheading:18675101-Immunization, Passive,
pubmed-meshheading:18675101-Immunoglobulins,
pubmed-meshheading:18675101-Liver Transplantation,
pubmed-meshheading:18675101-Middle Aged,
pubmed-meshheading:18675101-Recurrence,
pubmed-meshheading:18675101-Retrospective Studies,
pubmed-meshheading:18675101-Survival Analysis,
pubmed-meshheading:18675101-Time Factors,
pubmed-meshheading:18675101-Treatment Outcome
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pubmed:articleTitle |
Liver transplantation for hepatitis B virus patients: long-term results of three therapeutic approaches.
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pubmed:affiliation |
Department of Surgery-Transplantation Service, Catholic University-A. Gemelli Hospital, Rome, Italy. alfonso.alvolio@rm.unicatt.it
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pubmed:publicationType |
Journal Article
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