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Liver Transplant  (Expert Forum)
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rejection vs hepc
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.

rejection vs hepc

by Ruth590, Feb 21, 2009 08:32PM
My husband had a liver transplant 2 years ago, he was a nonresponder to interferon treatment. His liver enzymes went way up and ggt also. He had a biopsy and it came back both rejection and hep c attacking the liver. My question is if the enzymes go down after he takes more rejection medicine how will we know if the hepc is attacking or it still is rejection. Does it go by GGT level? One more question are there any trials for post transplant patients for treating hepc, I know they have them for nontransplant patients. Thank you, Ruth

by Thomas D Schiano, MD, Feb 22, 2009 03:41PM
unfortunately there are no trials for HCV post-liver transplant aside from different algorithms using interferon.  sometimes frequent liver biopsies are necessary to differentiate rejection and recurrent HCV as the treatments for rejection and HCV are totally opposite.  
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