Successful Treatment of Recurrent Primary Sclerosing Cholangitis after Orthotopic Liver Transplantation with Oral Vancomycin

Primary sclerosing cholangitis (PSC) is a progressive, cholestatic disease of the liver that is marked by inflammation of the bile ducts and damage to the hepatic biliary tree. Approximately 60–70% of patients also have inflammatory bowel disease and progression of PSC can lead to ulcerative colitis...

Full description

Saved in:
Bibliographic Details
Main Authors: Yinka K. Davies, Cynthia J. Tsay, Dario V. Caccamo, Kathleen M. Cox, Ricardo O. Castillo, Kenneth L. Cox
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Transplantation
Online Access:http://dx.doi.org/10.1155/2013/314292
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832562340317364224
author Yinka K. Davies
Cynthia J. Tsay
Dario V. Caccamo
Kathleen M. Cox
Ricardo O. Castillo
Kenneth L. Cox
author_facet Yinka K. Davies
Cynthia J. Tsay
Dario V. Caccamo
Kathleen M. Cox
Ricardo O. Castillo
Kenneth L. Cox
author_sort Yinka K. Davies
collection DOAJ
description Primary sclerosing cholangitis (PSC) is a progressive, cholestatic disease of the liver that is marked by inflammation of the bile ducts and damage to the hepatic biliary tree. Approximately 60–70% of patients also have inflammatory bowel disease and progression of PSC can lead to ulcerative colitis and cirrhosis of the liver. Due to limited understanding of the etiology and mechanism of PSC, the only existing treatment option is orthotopic liver transplantation (OLT); however, recurrence of PSC, after OLT is estimated to be between 5% and 35%. We discuss the successful treatment of a pediatric patient, with recurrent PSC, after OLT with oral Vancomycin.
format Article
id doaj-art-dd1cf36ca4bb49db8357ff8da8a2466b
institution Kabale University
issn 2090-6943
2090-6951
language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Case Reports in Transplantation
spelling doaj-art-dd1cf36ca4bb49db8357ff8da8a2466b2025-02-03T01:22:55ZengWileyCase Reports in Transplantation2090-69432090-69512013-01-01201310.1155/2013/314292314292Successful Treatment of Recurrent Primary Sclerosing Cholangitis after Orthotopic Liver Transplantation with Oral VancomycinYinka K. Davies0Cynthia J. Tsay1Dario V. Caccamo2Kathleen M. Cox3Ricardo O. Castillo4Kenneth L. Cox5Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, School of Medicine, Stanford University, Stanford, CA 95762, USAYale University, New Haven, CT 06510, USADepartment of Pathology, Sutter Medical Center, Sacramento, CA 95816, USADivision of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, School of Medicine, Stanford University, Stanford, CA 95762, USADivision of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, School of Medicine, Stanford University, Stanford, CA 95762, USADivision of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, School of Medicine, Stanford University, Stanford, CA 95762, USAPrimary sclerosing cholangitis (PSC) is a progressive, cholestatic disease of the liver that is marked by inflammation of the bile ducts and damage to the hepatic biliary tree. Approximately 60–70% of patients also have inflammatory bowel disease and progression of PSC can lead to ulcerative colitis and cirrhosis of the liver. Due to limited understanding of the etiology and mechanism of PSC, the only existing treatment option is orthotopic liver transplantation (OLT); however, recurrence of PSC, after OLT is estimated to be between 5% and 35%. We discuss the successful treatment of a pediatric patient, with recurrent PSC, after OLT with oral Vancomycin.http://dx.doi.org/10.1155/2013/314292
spellingShingle Yinka K. Davies
Cynthia J. Tsay
Dario V. Caccamo
Kathleen M. Cox
Ricardo O. Castillo
Kenneth L. Cox
Successful Treatment of Recurrent Primary Sclerosing Cholangitis after Orthotopic Liver Transplantation with Oral Vancomycin
Case Reports in Transplantation
title Successful Treatment of Recurrent Primary Sclerosing Cholangitis after Orthotopic Liver Transplantation with Oral Vancomycin
title_full Successful Treatment of Recurrent Primary Sclerosing Cholangitis after Orthotopic Liver Transplantation with Oral Vancomycin
title_fullStr Successful Treatment of Recurrent Primary Sclerosing Cholangitis after Orthotopic Liver Transplantation with Oral Vancomycin
title_full_unstemmed Successful Treatment of Recurrent Primary Sclerosing Cholangitis after Orthotopic Liver Transplantation with Oral Vancomycin
title_short Successful Treatment of Recurrent Primary Sclerosing Cholangitis after Orthotopic Liver Transplantation with Oral Vancomycin
title_sort successful treatment of recurrent primary sclerosing cholangitis after orthotopic liver transplantation with oral vancomycin
url http://dx.doi.org/10.1155/2013/314292
work_keys_str_mv AT yinkakdavies successfultreatmentofrecurrentprimarysclerosingcholangitisafterorthotopiclivertransplantationwithoralvancomycin
AT cynthiajtsay successfultreatmentofrecurrentprimarysclerosingcholangitisafterorthotopiclivertransplantationwithoralvancomycin
AT dariovcaccamo successfultreatmentofrecurrentprimarysclerosingcholangitisafterorthotopiclivertransplantationwithoralvancomycin
AT kathleenmcox successfultreatmentofrecurrentprimarysclerosingcholangitisafterorthotopiclivertransplantationwithoralvancomycin
AT ricardoocastillo successfultreatmentofrecurrentprimarysclerosingcholangitisafterorthotopiclivertransplantationwithoralvancomycin
AT kennethlcox successfultreatmentofrecurrentprimarysclerosingcholangitisafterorthotopiclivertransplantationwithoralvancomycin