Transplantation hépatique chez les patients porteurs des virus de l’hépatite B, de l’hépatite C et du virus de l’immunodéficience humaine

作者: Jean-Charles Duclos-Vallée , Bruno Roche , Didier Samuel

DOI: 10.1016/J.LPM.2009.05.005

关键词: Human immunodeficiency virus (HIV)GynecologyViral hepatitis bMedicine

摘要: Points essentiels La transplantation pour cirrhose virale B offre des resultats excellents (85 % de survie a 5 ans) du fait la prevention recidive sur le greffon. Celle-ci est obtenue grâce au controle replication l’emploi d’antiviraux avant et combinaison d’immunoglobulines anti-HBs apres transplantation. hepatique virale C qui une indication majeure transplantation, moins bons (65 % constante Un traitement antiviral C constitue d’interferon pegyle ribavirine doit etre administre un stade fibrose non avance greffon augmenter les chances reponse. patients infectes par virus l’immunodeficience humaine (VIH) faisable. Les sont chez co-infectes VIH/VHB (100 % d’une parfaite maitrise en post-greffe. En ce concerne, VIH/VHC volontiers plus severe que mono-infectes VHC explique inferieure. tres precocement dans periode

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