Liver Transplantation for Nonalcoholic Steatohepatitis: Pathophysiology of Recurrence and Clinical Challenges

Naga Swetha Samji, Rajanshu Verma, Krishna Chaitanya Keri, Ashwani K. Singal, Aijaz Ahmed, Mary Rinella, David Bernstein, Manal F. Abdelmalek, Sanjaya K. Satapathy*

*Corresponding author for this work

Research output: Contribution to journalReview article

2 Scopus citations

Abstract

Nonalcoholic steatohepatitis is the fastest-growing indication for the liver transplant and a leading cause of hepatocellular carcinoma among patients listed for liver transplantation in the USA. Post-transplant nonalcoholic hepatic steatosis and steatohepatitis are frequent complications of liver transplantation. Nonalcoholic steatohepatitis poses a significant challenge in both pre- and post-transplant period due to its association with metabolic syndrome, coronary artery disease, chronic kidney disease, and obstructive sleep apnea. While optimal therapy is not yet available in the post-liver transplant setting, lifestyle interventions continue to remain as the mainstay of therapy for post-transplant nonalcoholic steatohepatitis. Early recognition with protocol biopsies and noninvasive modalities, along with modification of known risk factors, are the most effective methods to curtail the progression of nonalcoholic steatohepatitis in the absence of FDA-approved pharmacologic therapy.

Original languageEnglish (US)
Pages (from-to)3413-3430
Number of pages18
JournalDigestive diseases and sciences
Volume64
Issue number12
DOIs
StatePublished - Dec 1 2019

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Keywords

  • Cryptogenic cirrhosis
  • Immunosuppression
  • Liver transplantation
  • Metabolic syndrome
  • Nonalcoholic fatty liver disease
  • Nonalcoholic steatohepatitis
  • Obesity-related liver disease

ASJC Scopus subject areas

  • Physiology
  • Gastroenterology

Cite this

Samji, N. S., Verma, R., Keri, K. C., Singal, A. K., Ahmed, A., Rinella, M., Bernstein, D., Abdelmalek, M. F., & Satapathy, S. K. (2019). Liver Transplantation for Nonalcoholic Steatohepatitis: Pathophysiology of Recurrence and Clinical Challenges. Digestive diseases and sciences, 64(12), 3413-3430. https://doi.org/10.1007/s10620-019-05716-1