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Transplant Considerations in Alagille Syndrome

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Alagille Syndrome

Abstract

Children with Alagille syndrome are often considered for liver transplantation, for a number of indications that include refractory pruritus and end-stage liver disease. It is a well-established therapy with reasonable success. The multi-system nature of this condition dictates a considered approach to liver transplant evaluation and management in order to assure a good outcome.

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References

  1. Kamath BM, Bason L, Piccoli DA, Krantz ID, Spinner NB. Consequences of JAG1 mutations. J Med Genet. 2003;40(12):891–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Arnon R, Annunziato R, Schiano T, Miloh T, Baisley M, Sogawa H, et al. Orthotopic liver transplantation for adults with Alagille syndrome. Clin Transpl. 2012;26(2):E94–E100.

    Article  Google Scholar 

  3. Arnon R, Annunziato R, Miloh T, Suchy F, Sakworawich A, Hiroshi S, et al. Orthotopic liver transplantation for children with Alagille syndrome. Pediatr Transplant. Blackwell Publishing Ltd. 2010;14(5):622–8.

    Article  PubMed  Google Scholar 

  4. Kamath BM, Yin W, Miller H, Anand R, Rand EB, Alonso E, et al. Outcomes of liver transplantation for patients with Alagille syndrome: the studies of pediatric liver transplantation experience. Liver Transpl. 2012;18(8):940–8.

    Article  PubMed  Google Scholar 

  5. Tzakis AG, Reyes J, Tepetes K, Tzoracoleftherakis V, Todo S, Starzl TE. Liver transplantation for Alagille's syndrome. Archives of surgery (Chicago, Ill : 1960). 1993;128(3):337–9.

    Article  CAS  Google Scholar 

  6. Cardona J, Houssin D, Gauthier F, Devictor D, Losay J, Hadchouel M, et al. Liver transplantation in children with Alagille syndrome--a study of twelve cases. Transp J. 1995;60(4):339–42.

    Article  CAS  Google Scholar 

  7. Hoffenberg EJ, Narkewicz MR, Sondheimer JM, Smith DJ, Silverman A, Sokol RJ. Outcome of syndromic paucity of interlobular bile ducts (Alagille syndrome) with onset of cholestasis in infancy. J Pediatr. 1995;127(2):220–4.

    Article  CAS  PubMed  Google Scholar 

  8. Quiros-Tejeira RE, Ament ME, Heyman MB, Martin MG, Rosenthal P, Hall TR, et al. Variable morbidity in Alagille syndrome: a review of 43 cases. J Pediatr Gastroenterol Nutr. 1999;29(4):431–7.

    Article  CAS  PubMed  Google Scholar 

  9. Ovaert C, Germeau C, Barrea C, Moniotte S, Van Obbergh L, Sokal E, et al. Elevated right ventricular pressures are not a contraindication to liver transplantation in Alagille syndrome. Transp J. 2001;72(2):345–7.

    Article  CAS  Google Scholar 

  10. Lykavieris P, Hadchouel M, Chardot C, Bernard O. Outcome of liver disease in children with Alagille syndrome: a study of 163 patients. Gut. 2001;49(3):431–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Kasahara M, Kiuchi T, Inomata Y, Uryuhara K, Sakamoto S, Ito T, et al. Living-related liver transplantation for Alagille syndrome. Transp J. 2003;75(12):2147–50.

    Article  Google Scholar 

  12. Englert C, Grabhorn E, Burdelski M, Ganschow R. Liver transplantation in children with Alagille syndrome: indications and outcome. Pediatr Transplant. 2006;10(2):154–8.

    Article  PubMed  Google Scholar 

  13. Hori T, Egawa H, Takada Y, Oike F, Kasahara M, Ogura Y, et al. Long-term outcomes after living-donor liver transplantation for Alagille syndrome: a single center 20-year experience in Japan. Am J Transplant. 2010;10(8):1951–2.

    Article  CAS  PubMed  Google Scholar 

  14. Lee C-N, Tiao M-M, Chen H-J, Concejero A, Chen C-L, Huang Y-H. Characteristics and outcome of liver transplantation in children with Alagille syndrome: a single-center experience. Pediatr Neonatol. 2014;55(2):135–8.

    Article  Google Scholar 

  15. Zhou T, Zhang J, Luo Y, Liu Y, Zhuang S, Xue F, et al. Clinical characteristics and outcome of liver transplantation for Alagille syndrome in children. J Dig Dis. 2017;18:658–62. Wiley Publishing Asia Pty Ltd.

    Article  PubMed  Google Scholar 

  16. Kohaut J, Pommier R, Guerin F, Pariente D, Jacquemin E, Martelli H, et al. Abdominal arterial anomalies in children with Alagille syndrome: surgical aspects and outcomes of liver transplantation. J Pediatr Gastroenterol Nutr. 2017;64(6):888–91.

    Article  CAS  PubMed  Google Scholar 

  17. Kronsten V, Fitzpatrick E, Baker A. Management of cholestatic pruritus in paediatric patients with Alagille syndrome: the King’s College Hospital experience. J Pediatr Gastroenterol Nutr. 2013;57(2):149–54.

    Article  PubMed  Google Scholar 

  18. A Long-Term, Open-Label Study of LUM001 With a Double-Blind, Placebo Controlled, Randomized Drug Withdrawal Period to Evaluate Safety and Efficacy in Children With Alagille Syndrome (ICONIC). https://clinicaltrials.gov/ct2/show/NCT02160782. Referenced 31 Aug 2017.

  19. Mattei P, von Allmen D, Piccoli D, Rand E. Relief of intractable pruritus in Alagille syndrome by partial external biliary diversion. J Pediatr Surg. 2006;41(1):104–7.

    Article  PubMed  Google Scholar 

  20. Kamath BM, Schwarz KB, Hadzic N. Alagille syndrome and liver transplantation. J Pediatr Gastroenterol Nutr. 2010;50(1):11–5.

    Article  PubMed  Google Scholar 

  21. Kasahara M, Sakamoto S, Horikawa R, Koji U, Mizuta K, Shinkai M, et al. Living donor liver transplantation for pediatric patients with metabolic disorders: The Japanese multicenter registry. Pediatr Transplant. 2013;18:6–15.

    Article  PubMed  Google Scholar 

  22. Gandhi SK, Reyes J, Webber SA, Siewers RD, Pigula FA. Case report of combined pediatric heart-lung-liver transplantation. Transp J. 2002;73(12):1968–9.

    Article  Google Scholar 

  23. Emerick KM, Rand EB, Goldmuntz E, Krantz ID, Spinner NB, Piccoli DA. Features of alagille syndrome in 92 patients: frequency and relation to prognosis. Hepatology. 1999;29(3):822–9.

    Article  CAS  PubMed  Google Scholar 

  24. Kamath BM, Spinner NB, Emerick KM, Chudley AE, Booth C, Piccoli DA, et al. Vascular anomalies in Alagille syndrome: a significant cause of morbidity and mortality. Circulation. 2004;109(11):1354–8.

    Article  PubMed  Google Scholar 

  25. Pavanello M, Severino M, D'Antiga L, Castellan L, Calvi A, Colledan M, et al. Pretransplant management of basilar artery aneurysm and moyamoya disease in a child with Alagille syndrome. Liver Transpl. 2015;21(9):1227–30.

    Article  PubMed  Google Scholar 

  26. Baird LC, Smith ER, Ichord R, Piccoli DA, Bernard TJ, Spinner NB, et al. Moyamoya syndrome associated with Alagille syndrome: outcome after surgical revascularization. J Pediatr. 2015;166(2):470–3.

    Article  PubMed  Google Scholar 

  27. Png K, Veyckemans F, De Kock M, Carlier M, Sluysmans T, Otte JB, et al. Hemodynamic changes in patients with Alagille's syndrome during orthotopic liver transplantation. Anesth Analg. 1999;89(5):1137–42.

    Article  CAS  PubMed  Google Scholar 

  28. Razavi RS, Baker A, Qureshi SA, Rosenthal E, Marsh MJ, Leech SC, et al. Hemodynamic response to continuous infusion of dobutamine in Alagille's syndrome. Transp J. 2001;72(5):823–8.

    Article  CAS  Google Scholar 

  29. Kaye AJ, Rand EB, Munoz PS, Spinner NB, Flake AW, Kamath BM. Effect of Kasai procedure on hepatic outcome in Alagille syndrome. J Pediatr Gastroenterol Nutr. 2010;51(3):319–21.

    PubMed  Google Scholar 

  30. Sheflin-Findling S, Arnon R, Lee S, Chu J, Henderling F, Kerkar N, et al. Partial internal biliary diversion for Alagille syndrome: case report and review of the literature. J Pediatr Surg. 2012;47(7):1453–6.

    Article  PubMed  Google Scholar 

  31. Emerick KM, Whitington PF. Partial external biliary diversion for intractable pruritus and xanthomas in Alagille syndrome. Hepatology. 2002;35(6):1501–6.

    Article  PubMed  Google Scholar 

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Correspondence to Elizabeth Rand .

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Hsu, E., Rand, E. (2018). Transplant Considerations in Alagille Syndrome. In: Kamath, B., Loomes, K. (eds) Alagille Syndrome. Springer, Cham. https://doi.org/10.1007/978-3-319-94571-2_5

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  • DOI: https://doi.org/10.1007/978-3-319-94571-2_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-94570-5

  • Online ISBN: 978-3-319-94571-2

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