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Liver Transplant  (Expert Forum)
 | 
post surgery complications
Answered by
Thomas D Schiano, MD - Internal Medicine, Gastroenterology, Liver Transplantation, Hepatology
The Mount Sinai Medical Center New York - NY
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Questions posted in the Liver Transplant . Forum are answered by medical professionals from The Mount Sinai Medical Center.

post surgery complications

by tommy1957, Aug 13, 2009 11:10PM
had liver transplant, sept. 05, diagnosed w/ hep c & chirrosis. have had numerous problems since. everything from c diff, twice being overdosed by hospital, bile duct blockage(several times) rejection, etc. only consolation is still alive to ***** about it. my labs of recent show liver functions elevated(alt & ast around 300, alkphos is above 200).
anytime my alkphos. becomes elevated they want to do a biopsy. all mine are now done transjugular due to anatomical changes. we've never treated the hep c due to platelet count that can't seem to get above 30,000. why keep taking a biopsy? what course could i take to treat hep c? am i destined to just keep plodding along? i was very healthy and still get around okay but have little stamina. i had the hepc for close to thirty years and now am 52 years old. thanks for letting me ramble.
tommy

by Thomas D Schiano, MD, Aug 15, 2009 04:52PM
it can sometime be extrmely difficult to make sure someone just has HCV alone or a concurrent bile duct problem and rejection.  if the HCV is very severe I would still take a chance and treat it so as to just decrease the viral load.  unfortunately all we have at the current time is interferon and ribavirin
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