Ascites post-living donor liver transplantation: Risk factors and outcome
Ebada, Hend E.; Montasser, Mohammad F.; Abdelghaffar, Mohammad F.; Bahaa, Mohamad M.; Elbaset, Hany said Abd; Sakr, Mohammad A.; Dabbous, Hany M; Montasser, Iman F.; Hassan, Mohammed S.; Aboelmaaty, Mohamed E.; El Meteini, Mahmoud S.;
Abstract
Background and aim: Persistent ascites post-liver transplantation is reported to be a rare event. This study
aimed to determine the prevalence, risk factors, etiology and outcome of ascites post-living donor liver transplantation
(LDLT).
Methods: This is a retrospective observational study on 347 recipients who underwent LDLT at our center
from 2008 to 2018. We classify the ascites post-LDLT into either persistent (PA): present > four weeks post
LT, or refractory (RA): new-onset ascites after the first-month post LT.
Results: The prevalence of ascites post LDLT was 8.4% (n = 29), including PA, 4.9%, and RA, 3.45%. Idiopathic
ascites (no specific cause) was the most common in the PA group, while vascular complications and graft failure
were more common in the RA group. On regression analysis model, the presence of pre-LT PVT, small for
size syndrome (SFSS) and vascular complications were the independent risk factors of PA (p value=0.017,
0.026, 0.011, respectively and Odds ratio (95% CI) = 4.25(1.290−13.97), 4.01(1.177−13.63) and 7.4(1.596
−34.46), respectively. Pre-LT-HCV-related chronic liver disease, significant portal hypertension, donor overweight
and vascular complications were the risk factors for the development of RA (p value= 0.04, 0.001,
0.031, <0.001, respectively and Odds ratio (95% CI) = 18.99 (1.1−315.14), 46.67 (4.51−483.08), 4.72 (1.15
−19.31) & 67.23(6.38−708.72) respectively. Three- and five-year survival are not significantly reduced in
patients who developed ascites post LDLT.
Conclusions: Ascites post-LDLT does not affect the 3- and 5-year survival rates. Idiopathic ascites pos-LDLT is
common and has a good prognosis.
aimed to determine the prevalence, risk factors, etiology and outcome of ascites post-living donor liver transplantation
(LDLT).
Methods: This is a retrospective observational study on 347 recipients who underwent LDLT at our center
from 2008 to 2018. We classify the ascites post-LDLT into either persistent (PA): present > four weeks post
LT, or refractory (RA): new-onset ascites after the first-month post LT.
Results: The prevalence of ascites post LDLT was 8.4% (n = 29), including PA, 4.9%, and RA, 3.45%. Idiopathic
ascites (no specific cause) was the most common in the PA group, while vascular complications and graft failure
were more common in the RA group. On regression analysis model, the presence of pre-LT PVT, small for
size syndrome (SFSS) and vascular complications were the independent risk factors of PA (p value=0.017,
0.026, 0.011, respectively and Odds ratio (95% CI) = 4.25(1.290−13.97), 4.01(1.177−13.63) and 7.4(1.596
−34.46), respectively. Pre-LT-HCV-related chronic liver disease, significant portal hypertension, donor overweight
and vascular complications were the risk factors for the development of RA (p value= 0.04, 0.001,
0.031, <0.001, respectively and Odds ratio (95% CI) = 18.99 (1.1−315.14), 46.67 (4.51−483.08), 4.72 (1.15
−19.31) & 67.23(6.38−708.72) respectively. Three- and five-year survival are not significantly reduced in
patients who developed ascites post LDLT.
Conclusions: Ascites post-LDLT does not affect the 3- and 5-year survival rates. Idiopathic ascites pos-LDLT is
common and has a good prognosis.
Other data
Title | Ascites post-living donor liver transplantation: Risk factors and outcome | Authors | Ebada, Hend E.; Montasser, Mohammad F.; Abdelghaffar, Mohammad F.; Bahaa, Mohamad M.; Elbaset, Hany said Abd; Sakr, Mohammad A.; Dabbous, Hany M; Montasser, Iman F.; Hassan, Mohammed S.; Aboelmaaty, Mohamed E.; El Meteini, Mahmoud S. | Keywords | Ascites;Liver transplantation;Living donor liver transplantation;Hepatic venous occlusion;Small for size syndrome | Issue Date | Oct-2022 | Publisher | ElSevier | Journal | Journal of Liver Transplantation | Volume | 8 | Start page | 100112 | ISSN | 26669676 | DOI | 10.1016/j.liver.2022.100112 |
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