title: Recurrence of primary sclerosing cholangitis after liver transplantation - The Hungarian experience.
abstract: BACKGROUND
  Recurrence of primary sclerosing cholangitis (rPSC) after liver transplantation (OLT) significantly affects long-term graft survival. We aimed to evaluate the incidence of rPSC and clinical data of these patients in Hungary.
  
  
  METHODS
  We retrospectively analyzed data of 511 whole liver transplantations from 1995 to 2011. During the study period, 49 OLTs were performed in 43 adult patients with end-stage PSC (10%).
  
  
  RESULTS
  Out of 49 OLT, 24 cases were excluded, rPSC was diagnosed in six patients (12%). Patients with rPSC had significantly higher mortality (p = 0.009) and graft loss (p = 0.009) in comparison to patients without recurrent disease. Younger recipient age, higher donor BMI was observed in the rPSC group. One patient was diagnosed with de novo IBD, the remaining five patients had worsening IBD activity in the posttransplant period. PreOLT colectomy was performed in 21% of the control and none of the rPSC group. PostOLT colectomy was performed in two rPSC patients due to severe therapy resistant colitis.
  
  
  CONCLUSIONS
  Recurrent PSC significantly affects long-term mortality and graft loss. Younger age at OLT, higher donor BMI and severe active IBD may be associated with PSC recurrence. PreOLT total colectomy might have protective effect against rPSC.
authors.forename: Fanni
authors.initials: F
authors.lastname: Gelley
authors.forename: Gergely
authors.initials: G
authors.lastname: Zádori
authors.forename: Dénes
authors.initials: D
authors.lastname: Görög
authors.forename: László
authors.initials: L
authors.lastname: Kóbori
authors.forename: Imre
authors.initials: I
authors.lastname: Fehérvári
authors.forename: György
authors.initials: G
authors.lastname: Gámán
authors.forename: Zsuzsanna
authors.initials: Z
authors.lastname: Gerlei
authors.forename: Péter
authors.initials: P
authors.lastname: Nagy
authors.forename: Enikő
authors.initials: E
authors.lastname: Sárváry
authors.forename: Balázs
authors.initials: B
authors.lastname: Nemes
keywords: disease recurrence; inflammatory bowel disease; liver transplantation; primary sclerosing cholangitis