Document Detail


Hepatic complications of hematopoietic cell transplantation.
MedLine Citation:
PMID:  17335679     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acute and chronic liver disease contributes significantly to morbidity and mortality following hematopoietic cell transplantation (HCT). The best prognostic indicator for the development of severe liver dysfunction is an early rise in liver function test results after HCT. The leading causes soon after HCT are acute graft-versus-host disease (GVHD), sinusoidal obstruction syndrome, drug and total parenteral nutrition hepatotoxicity, sepsis, and viral infection. Hepatic herpesvirus and fungal infections after HCT, though uncommon, can be life-threatening and warrant immediate diagnosis and treatment. Hepatitis B, hepatitis C virus, iron overload, and chronic GVHD are among the most common causes for chronic liver disease after HCT. Because treatments are directed at the underlying etiology of liver disease, prompt diagnosis by means of laboratory tests, hepatic imaging, and often liver biopsy is required after HCT.
Authors:
Josh Levitsky; Michael F Sorrell
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current gastroenterology reports     Volume:  9     ISSN:  1522-8037     ISO Abbreviation:  Curr Gastroenterol Rep     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-03-05     Completed Date:  2007-06-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888896     Medline TA:  Curr Gastroenterol Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  60-5     Citation Subset:  IM    
Affiliation:
Department of Medicine, Division of Hepatology, Northwestern University Feinberg School of Medicine, 675 N. St. Clair, 15-250, Chicago, IL 60611, USA. j-levitsky@northwestern.edu
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MeSH Terms
Descriptor/Qualifier:
Biliary Tract Diseases
Drug Toxicity
Graft vs Host Disease
Hematopoietic Stem Cell Transplantation / adverse effects*
Hepatic Veno-Occlusive Disease
Hepatitis, Viral, Human
Humans
Iron Overload
Liver Diseases / diagnosis,  epidemiology,  etiology*
Mycoses
Parenteral Nutrition, Total
Risk Factors
Sepsis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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