Table 1.
Pre–FK 506 Diagnosis | No. Patients | Died | Retransplanted | Functioning | Histologic Follow-Up |
Biochemical Parameters of Liver Injury After Conversion¶ | ||
---|---|---|---|---|---|---|---|---|
Improved | No Change | Worse | ||||||
Acute cellular rejection | 18 | 3 | 1 | 14 | 10 | 4 | 0 | Improved |
Chronic rejection | 33 | 0 | 11* | 22† | 13 | 9 | 0 | Improved |
Chronic rejection‡ CPH/CAH |
20 | 0 | 4 | 16 | 1 | 10 | 5 | Mixed |
Hepatitis§ | 7 | 4 | 1 | 2 | 0 | 0 | 2 | Worse |
Nonspecific changes|| | 18 | 0 | 0 | 18 | 0 | 18 | 0 | Same |
Seven/11 patients had >50% bile duct loss and total serum bilirubin > 15 mg/dL prior to conversion.
All but 2 patients had <50% bile duct loss and total serum bilirubin <15 mg/dL prior to conversion.
Initial cause of graft malfunction was uncertain. Difficulty in separating ongoing rejection from chronic persistent (CPH) or low-grade chronic active hepatitis (CAH) was encountered.
Acute and chronic active.
Patients were switched primarily for reasons other than graft dysfunction.
Based on examination of functioning grafts 180 days after conversion.