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Significance of progressive liver fibrosis in pediatric liver transplants: A review of current evidence
Authors:Mathew George  Philippe Paci  Timucin Taner
Affiliation:Mathew George, Philippe Paci, Timucin Taner, Departments of Surgery, Mayo Clinic, Rochester, MN 55905, United StatesTimucin Taner, Departments of Immunology, Mayo Clinic, Rochester, MN 55905, United States
Abstract:This article reviews the current evidence and knowledge of progressive liver fibrosis after pediatric liver transplantation. This often-silent histologic finding is common in long-term survivors and may lead to allograft dysfunction in advanced stages. Surveillance through protocolized liver allograft biopsy remains the gold standard for diagnosis, and recent evidence suggests that chronic inflammation precedes fibrosis.
Keywords:Allograft fibrosis   Pediatric liver transplant   Chronic rejection   Immunosuppression   Portal inflammation   Liver allograft
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