Thank you, I have relayed the message to my friend. Ill let you know what happens next.
he may have developed chronic rejection which as no treatment aside from optimization of prograf--if he has not had a recent liver biopsy it should be performed to help guide ongoing/future therapy
I may add some, based on from Korean blog site.
He had a deceased Ltx on 1/9/14. He was hospitalized in the end of Feb because of high Billlirubin. Dr. found 2 kinds of rejection (not sure whether he had a Biopsy, my guess is he did) and had atgam for 1 week. Billirubin was still high, so he had PTBD in the end of March. Billirubin is still high at 37.
Ill ask about the biopsy…in that case, do you suggest another liver transplant? Is there any other possibilities? Thank you for taking your time to answer this question.
it could be rejection of the liver--I presume that these were live donor transplants. he presumably had a liver biopsy performed which could be a clue as to what is going on.