Role of colectomy in preventing recurrent primary sclerosing cholangitis in liver transplant recipients

doi:10.3748/wjg.v24.i28.3171

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Jul 28, 2018; 24(28): 3171-3180
Published online Jul 28, 2018. doi: 10.3748/wjg.v24.i28.3171

Table 4 Primary outcomes of study cohorts comparing liver transplantation recipients with and without recurrent primary sclerosing cholangitis in the liver graft

Ref.	Year	Presence of IBD(ever)	*Time of IBD diagnosis (pre-LT/de novo)*	Presence of IBD (post-LT)	Time of colectomypre- and peri-LT/post-LT	Type of colectomy	Primary immunosuppression	Secondary immunosuppression
¹Cholongitas et al[21]	2008	7 (100) vs 26 (56)	5 (71)/2 (29) vs 25 (54)/1 (2)	7 (100) vs 26 (56)	0 (0)/1 (14) vs 6 (13)/6 (13)	NR	TAC 2 (29) vs 25 (54) CyA 5 (71) vs 21 (46)	AZA 3 (43) vs 22 (48) OKT3 or ATG 2 (29) vs 11 (24)
Alabraba et al[20]	2009	39 (72) vs 123 (70)	NR	NR	1 (2)/14 (23) vs 28 (16)/18 (10)	Panproctocolectomy 7 (13) vs 15 (8) Segmental + subtotal 5 (9) vs 21 (12) Ileoanal pouch 3 (6) vs 10 (6)	TAC 16 (26) vs 104 (51) CyA 44 (72) vs 95 (47)	None 1 (2) vs 3 (2) OKT3 0 (0) vs 2 (2)
Moncrief et al[24]	2010	15 (100) vs 33 (75)	11 (73)/4 (27) vs 31 (70)/2 (5)	13 (87) vs 24 (55)	1 (7)/NR vs 9 (20)/NR	NR	TAC 7 (47) vs 28 (64) CyA 8 (53) vs 14 (32)	NR
Gelley et al[22]	2014	6 (100) vs 15 (79)	5 (83)/1 (17) vs 14 (74)/1 (5)	6 (100) vs 15 (79)	0 (0)/2 (34) vs 4 (21)/2 (11)	NR	TAC 4 (67) vs 14 (74) CyA 2 (33) vs 5 (26)	NR
¹Ravikumar et al[25]	2015	51 (78) vs 220 (52)	42 (65)/9 (13) vs 193 (46)/27 (6)	43 (66) vs 181 (42)	5 (6)/14 (17) vs 40 (8)/46 (10)	Panproctocolectomy: 2 (2) vs 22 (5) Segmental + subtotal: 16 (20) vs 41 (8) Other: 1 (1) vs 17 (4)	TAC 36 (44) vs 330 (68) CyA 20 (25) vs 55 (11)	AZA 26 (32) vs 212 (44) MMF 10 (12) vs 67 (14) Steroids 38 (47) vs 285 (59)
Hildebrand et al[23]	2016	53 (86) vs 167 (71)	NR	48 (77) vs 138 (59)	NR	NR	TAC 41 (67) vs 150 (66) CyA 32 (53) vs 124 (55)	Steroids 41 (70) vs 133 (60)

Data are expressed as n (%).

¹Studies reporting exclusively on ulcerative colitis. ATG: Anti-thymocyte globulin; AZA: Azathioprine; CyA: Cyclosporine A; IBD: Inflammatory bowel disease; LT: Liver transplantation; MMF: Mycophenolate mofetil; NR: Not reported; OKT3: Muromonab-CD3; TAC: Tacrolimus.

Citation: Buchholz BM, Lykoudis PM, Ravikumar R, Pollok JM, Fusai GK. Role of colectomy in preventing recurrent primary sclerosing cholangitis in liver transplant recipients. World J Gastroenterol 2018; 24(28): 3171-3180
URL: https://www.wjgnet.com/1007-9327/full/v24/i28/3171.htm
DOI: https://dx.doi.org/10.3748/wjg.v24.i28.3171