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Risk factors for alcohol recidivism after liver transplantation

 Hyeok Jun Yun  ;  Jae Geun Lee  ;  Hyun Jeong Kim  ;  Dai Hoon Han  ;  Gi Hong Choi  ;  Myoung Soo Kim  ;  Jin Sub Choi  ;  Soon Il Kim  ;  Dong Jin Joo 
 Annals of Liver Transplantation, Vol.1(1) : 18-23, 2021-05 
Journal Title
Annals of Liver Transplantation
Issue Date
Alcohol ; Liver transplantation ; Recidivism ; Survival
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Background: Alcoholic liver disease (ALD) has been increasing recently and the second most common indication for liver transplantation (LT) in Korea. Even after LT, alcohol recidivism can be a problem interfering with the patients’ long-term survival and graft function. This study was conducted to analyze the clinical course and preand post-transplantation risk factors for alcohol recidivism in transplant recipients with ALD.
Methods: Of 592 liver transplant recipients, sixty-two patients underwent LT for ALD between Jan 2005 and Dec 2014. We retrospectively collected and analyzed the data from our electrical medical records.
Results: Out of the 62 ALD recipients, 57 patients were male. Their mean age was 52.4±8.3 years. The mean abstinence period of them before transplantation was 17.7±30.0 months. Sixteen recipients (25.8%) showed alcohol recidivism at 15.9±13.7 months after LT. Patients who showed alcohol recidivism had a significantly longer duration of drink before transplantation than non-recidivism patients (35.4±6.3 vs 30.9±9.4 years, respectively, p=0.038). In terms of alcohol consumption, the recidivism group showed more alcohol drinking than the non-recidivism group (123.0±67.2 vs 81.6±61.0 units, respectively, p=0.026). The abstinence period before LT was not significantly different. In the multivariate analysis, the amount of alcohol consumption before transplantation was considered to play a risk factor for alcohol recidivism after transplantation (p=0.05).
Conclusion: Information about duration and consumption of alcohol drink before LT helps to predict alcohol recidivism after LT in patients with ALD, allowing early awareness and specific postoperative care.
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1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Myoung Soo(김명수) ORCID logo https://orcid.org/0000-0002-8975-8381
Kim, Soon Il(김순일) ORCID logo https://orcid.org/0000-0002-0783-7538
Kim, Hyun Jeong(김현정)
Yun, Hyeok Jun(윤혁준) ORCID logo https://orcid.org/0000-0001-6004-0782
Lee, Jae Geun(이재근) ORCID logo https://orcid.org/0000-0002-6722-0257
Joo, Dong Jin(주동진) ORCID logo https://orcid.org/0000-0001-8405-1531
Choi, Gi Hong(최기홍) ORCID logo https://orcid.org/0000-0002-1593-3773
Choi, Jin Sub(최진섭)
Han, Dai Hoon(한대훈) ORCID logo https://orcid.org/0000-0003-2787-7876
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