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Liver transplantation in chronic hepatitis B infection

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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One year survival is less than 50% compared to figures above 90% in patients with cholestatic or alcoholic liver disease.

Active pre-transplant viral replication - HBeAg +ve or HBV DNA +ve - is associated with a poorer prognosis.

Post-transplant reinfection occurs in nearly all cases. The likelihood is greatest in patients who were HBV DNA +ve at the time of transplantation.

High dose immunoglobulin perioperatively and postoperatively is the most effective way of delaying and preventing HBV recurrence.


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