Liver transplantation and primary biliary cirrhosis.

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Primary biliary cirrhosis and liver transplantation.

Primary biliary cirrhosis (PBC) is an immune-mediated chronic progressive inflammatory liver disease, predominantly affecting middle-aged women, characterized by the presence of antimitochondrial antibodies (AMAs), which can lead to liver failure. Genetic contributions, environmental factors including chemical and infectious xenobiotics, autoimmunity and loss of tolerance have been aggressively...

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Liver transplantation in primary biliary cirrhosis.

The proportion of patients who undergo liver transplantation for primary biliary cirrhosis (PBC) is steadily declining. This decline is partly from the increasing number of patients undergoing transplantation for other indications, but also perhaps because of the effect of ursodeoxycholic acid (UDCA) on the natural history of this condition. Nevertheless, patients who have PBC still constitute ...

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Liver transplantation for primary biliary cirrhosis.

Liver transplantation is the accepted treatment for patients with end-stage liver disease or intractable symptoms secondary to primary biliary cirrhosis (PBC), and has proven survival benefit. Indications for transplantation are an unacceptable quality of life or anticipated death in less than 1 year. Although there are a number of prognostic models, serum bilirubin provides the simplest guide ...

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Difficult Decisions Liver transplantation and primary biliary cirrhosis

Primary biliary cirrhosis (PBC) is a chronic cholestatic liver disease, autoimmune in 'nature', but ofunknown aetiology." 2 It often presents in middle-aged women with itching, jaundice, hepatomegaly or variceal bleeding.3 Increasingly the diagnosis is made in asymptomatic patients or those without symptoms referrable to the liver,4 often in association with other autoimmune diseases, on the ba...

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ژورنال

عنوان ژورنال: Postgraduate Medical Journal

سال: 1989

ISSN: 0032-5473

DOI: 10.1136/pgmj.65.766.553