Liver Transplantation for Primary Biliary Cholangitis

Clin Liver Dis. 2022 Nov;26(4):765-781. doi: 10.1016/j.cld.2022.06.014.

Abstract

Despite a significant increase in the total number of liver transplants (LTs) performed over the last 3 decades, primary biliary cholangitis (PBC) has become an uncommon indication for LT, which likely reflects the benefits of earlier diagnosis and available treatment, such as ursodeoxycholic acid (UDCA). Nonetheless, LT remains the only cure for patients with progressive PBC despite medical therapy with survival rates that are among the highest of all indications for LT. Post-LT PBC patients, however, are at increased risk of rejection and disease recurrence.

Keywords: Liver transplantation; Outcomes; Primary biliary cholangitis; Recurrence; Ursodeoxycholic acid.

Publication types

  • Review

MeSH terms

  • Cholagogues and Choleretics / therapeutic use
  • Humans
  • Liver Cirrhosis, Biliary* / drug therapy
  • Liver Transplantation* / adverse effects
  • Survival Rate
  • Ursodeoxycholic Acid / therapeutic use

Substances

  • Ursodeoxycholic Acid
  • Cholagogues and Choleretics