Orthotopic Liver Transplantation for Alcoholic Cirrhosis

Thomas E. Starzl, David Van Thiel, Andreas G. Tzakis, Shunzaburo Watsuki, Satoru Todo, J. Wallis Marsh, Babu Koneru, Sandee Staschak, Andrei Stieber, Robert D. Gordon

Research output: Contribution to journalArticlepeer-review

211 Scopus citations

Abstract

Fifteen patients with Laennec’s cirrhosis underwent orthotopic liver transplantation between 1963 and the end of 1979. The first eight patients died perioperatively or within two months, but four of the next seven patients had long survival; three are still alive after 11 to 14 years. After the introduction of cyclosporine therapy, 41 more patients with alcoholic cirrhosis were treated with liver transplantation from 1980 to June 1987. The one-year survival is 73.2%, and, after one to three years, 28 (68%) of the recipients are living. Of the 35 patients in the combined old and new series who lived for six months or longer, only two returned to alcohol abuse. Social and vocational rehabilitation has been the rule in these recipients who were selected primarily because of urgency of need, because they or their families insisted on treatment, and because they and their families thereby committed themselves to long-standing programs of alcoholism care.

Original languageEnglish (US)
Pages (from-to)2542-2544
Number of pages3
JournalJAMA: The Journal of the American Medical Association
Volume260
Issue number17
DOIs
StatePublished - Nov 4 1988
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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