Table Of ContentDisease Recurrence 
After Liver 
Transplantation
Natural History, 
Treatment and Survival
Paul J. Thuluvath
Editor
123
Disease Recurrence After Liver Transplantation
Paul   J.   Thuluvath     
 Editor 
 Disease Recurrence 
After Liver Transplantation 
 Natural History, Treatment and Survival
Editor 
   Paul   J.   Thuluvath   
  Institute for Digestive Health & Liver Disease 
 Mercy Medical Center & University of Maryland School of Medicine 
  Baltimore ,  MD ,  USA   
 ISBN 978-1-4939-2946-7          ISBN 978-1-4939-2947-4  (eBook) 
 DOI 10.1007/978-1-4939-2947-4 
 Library of Congress Control Number: 2015947276 
 Springer New York Heidelberg Dordrecht London 
 © Springer Science+Business Media New York   2016 
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Contents 
    1      Overview: Disease Recurrence After Liver Transplantation .............   1   
    Paul   J.   Thuluvath    
     2      Hepatitis B Recurrence: Major Milestones and Current Status .......   13   
    Bruno   Roche     and     Didier Samuel       
     3      HCV Recurrence: Predictors and Outcomes 
After Liver Transplantation ..................................................................   35   
    Angel   Rubín     and     Marina   Berenguer    
     4      Treatment of Recurrent Hepatitis C ....................................................   55   
    Anantha   K.   Nuthalapati     and     Paul   J.   Thuluvath    
     5      Recurrence of Primary Biliary Cirrhosis Following 
Liver Transplantation ............................................................................   79   
    Russell   H.   Wiesner    
     6      Recurrence of Autoimmune Hepatitis 
After Liver Transplantation ..................................................................   91   
    James   Neuberger    
     7      Alcoholic Cirrhosis, Transplantation, 
and Recurrence of Disease ....................................................................   105   
    Eric   Siskind     and     Rolf   N.   Barth    
     8      Recurrence of Primary Sclerosing Cholangitis 
After Liver Transplantation ..................................................................   121   
    Phunchai   Charatcharoenwitthaya     and     Keith   D.   Lindor    
     9      Recurrence of Metabolic Disorders 
After Liver Transplantation ..................................................................   135   
    Bijan   Eghtesad     and     Charles   Miller    
     10      Nonalcoholic Fatty Liver Disease Post-Liver Transplantation ..........   145   
    Ibrahim   Hanouneh     and     Bijan   Eghtesad    
v
vi Contents
     11      Recurrence of Hepatocellular Carcinoma Following Liver 
Transplantation Within Milan Criteria ...............................................   153   
    Anantha   K.   Nuthalapati    ,     Steven   I.   Hanish    , and     Paul   J.   Thuluvath    
     12      Recurrence of HCC When Transplanted 
Outside Milan Criteria ..........................................................................   165   
    Naveen   Ganjoo     and     Thomas   D.   Schiano    
     13      Role of Neoadjuvant and Adjuvant Treatment 
in HCC Recurrence After Liver Transplantation ...............................   187   
    Masato   Fujiki    ,     Federico   Aucejo    ,     Minsig   Choi    , and     Richard   Kim    
     14      Cholangiocarcinoma ..............................................................................   205   
    Nicholas   Onaco     and     Göran   B.  G.   Klintmalm    
     15      Recurrent Non-hepatic and De Novo Malignancies 
After Liver Transplantation ..................................................................   215   
    Ashokkumar   Jain    ,     Zakiyah   Kadry    ,     Stephanie   L.   Buchman    , 
and     Ali   Riaz   Shah    
     16      Recurrence of Disease After Liver Transplantation 
in the Pediatric Population ....................................................................   233   
    Elaine   Y.   Cheng    ,     Robert   S.   Venick    , and     Ronald   W.   Busuttil    
     17      Disease Recurrence After Liver Transplantation: 
Quality of Life and Cost of Retransplantation ....................................   245   
    Vignan   Manne     and     Sammy   Saab     
       Index ................................................................................................................   259
Contributors 
     Federico     Aucejo        Transplant Center, Cleveland Clinic  ,  Cleveland ,  OH ,  USA     
      Rolf     N.     Barth     D    ivision of Transplantation,  U  niversity of Maryland School of 
Medicine  ,  Baltimore ,  MD ,  USA     
      Marina     Berenguer        Hepatology Unit and Ciberehd, La Fe Hospital  ,  Valencia , 
 Spain   
  University of Medicine  ,  Valencia ,  Spain
Hospital Universitari i Politècnic La Fe (Torre F-5), Valencia, Spain     
      Stephanie     L.     Buchman        Division of Transplantation ,  Department of Surgery  ,   
College of Medicine, The Pennsylvania State University ,  Hershey, PA ,  USA     
      Ronald     W.     Busuttil        Department of Surgery ,  University of California, Los Angeles  , 
 Los Angeles ,  CA ,  USA     
      Phunchai      Charatcharoenwitthaya        Faculty  of  Medicine,  Division  of 
Gastroenterology, Medicine Department,    Siriraj Hospital, Mahidol University,   
 Bangkok ,  Thailand     
      Elaine     Y.     Cheng        Division of Liver and Pancreas Transplantation, Department of 
Surgery ,  University of California, Los Angeles  ,  Los Angeles ,  CA ,  USA     
      Minsig     Choi        Division of Hematology and Oncology ,  Department of Medicine, 
Stony Brook University  ,  Stony Brook ,  NY ,  USA     
      Didier     Samuel        AP-HP Hôpital Paul-Brousse, Centre Hépato-Biliaire  ,  Villejuif , 
 France     
INSERM, U 1193, Villejuif, France
Univ Paris-Sud, UMR-S 1193, Villejuif, France
vii
viii Contributors
      Bijan     Eghtesad                Department of Hepato-Pancreato-Biliary/Liver Transplantation 
Surgery ,  Cleveland Clinic  ,  Cleveland ,  OH ,  USA     
Transplant Center,  Cleveland Clinic ,  Cleveland ,  OH , USA
      Masato     Fujiki        Transplant Center, Cleveland Clinic  ,  Cleveland ,  OH ,  USA     
      Naveen      Ganjoo       Division  of  Liver  Diseases ,   Mount  Sinai  Medical  Center  , 
 New York ,  NY ,  USA
Department of Hepatology and Multi organ Transplant Aster Medcity, Kochi, India     
      Steven     I. Hanish          Department of Surgery, University of Maryland School of 
Medicine, Baltimore, MD, USA      
      Ibrahim     Hanouneh        Department of Gastroenterology and Hepatology ,  Cleveland 
Clinic  ,  Cleveland ,  OH ,  USA   
  Transplant Center,   Cleveland Clinic  ,  Cleveland ,  OH ,  USA     
      Ashokkumar     Jain     D    ivision of Transplantation, Department of Surgery, College of 
Medicine ,   The Pennsylvania State University  ,  Hershey ,  PA ,  USA     
      Zakiyah     Kadry    D    ivision of Transplantation, Department of Surgery, College of 
Medicine ,  The Pennsylvania State University  ,  Hershey ,  PA ,  USA     
      Richard     Kim     D    epartment of Gastrointestinal Oncology,  H  . Lee Moffi tt Cancer 
Center & Research Institute  ,  Tampa ,  FL ,  USA     
      Göran     B.  G.     Klintmalm        Transplant Services, Baylor University Medical Center  , 
 Dallas ,  TX ,  USA     
      Keith     D.     Lindor        College of Health Solutions, Arizona State University  ,  Phoenix , 
 AZ ,  USA     
      Vignan     Manne        Department of Internal Medicine ,  Akron General Medical Center  , 
 Akron ,  OH ,  USA     
      Charles     Miller        Department of Hepato-Pancreato-Biliary/Liver Transplantation 
Surgery ,  Cleveland Clinic  ,  Cleveland ,  OH ,  USA   
  Transplant Center,   Cleveland Clinic  ,  Cleveland ,  OH ,  USA     
      James     Neuberger        Liver Unit ,  University Hospital Birmingham NHS Foundation 
Trust  ,  Birmingham ,  UK     
      Anantha     K.     Nuthalapati    Institute for Digestive Health and Liver Disease, Mercy 
Hospital; Department of Medicine & Surgery, University of Maryland School of 
Medicine, Baltimore, MD, USA         
      Nicholas     Onaco        Transplant Services, Baylor University Medical Center  ,  Dallas , 
 TX ,  USA
Contributors ix
      Bruno     Roche        AP-HP Hôpital Paul-Brousse, Centre Hépato-Biliaire  ,  Villejuif , 
 France     
INSERM, U 1193, Villejuif, France
Univ Paris-Sud, UMR-S 1193, Villejuif, France
      Angel     Rubín        Hepatology Unit and Ciberehd ,  La Fe Hospital  ,  Valencia ,  Spain     
      Sammy      Saab       Pfl eger  Liver  Institute,  UCLA  Medical  Center,   U  niversity  of 
California Los Angeles School of Medicine  ,  Los Angeles ,  CA ,  USA     
      Thomas     D.     Schiano        Division of Liver Diseases ,  Mount Sinai Medical Center  , 
 New York ,  NY ,  USA     
      Ali     Riaz     Shah       Division of Transplantation, Department of Surgery, College of 
Medicine ,  The Pennsylvania State University  ,  Hershey ,  PA ,  USA     
      Eric     Siskind     D    ivision of Transplantation,  U  niversity of Maryland School of 
Medicine  ,  Baltimore ,  MD ,  USA     
      Paul     J.     Thuluvath       Institute for Digestive Health & Liver Disease, Mercy Medical 
Center & University of Maryland School of Medicine  ,  Baltimore ,  MD ,  USA     
      Robert     S.     Venick        Division of Liver and Pancreas Transplantation, Department of 
Surgery, University of California, Los Angeles, Los Angeles, CA, USA        
Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, 
University of California, Los Angeles, Los Angeles, CA, USA
      Russell      H.      Wiesner        Departments  of  Gastroenterology/Hepatology/Liver 
Transplantation ,  Mayo Clinic, Rochester  ,    MN ,  USA