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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Often Must Lft Be Done?

I underwent live related donor liver transplant 1 year ago for early HCC(2 < 2cm lesions ) and am on tacrolimus 0.5 BD ,EVerolimus 0.5-0-0.75 ,and Azothioprine 50 OD. Latest LFT was near normal except for SAP of 650 IU. Transaminases are of 50-70 range. How often must LFT be done? When can I be considered free of recurrence?Should I undergo Biliary stenting for posterior sectoral ductal obstuction as i am feeling alright right now? Wil continuing UDCA be helful? I am 42 at present.
Mon, 20 Jun 2016
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General Surgeon 's  Response
1) Your should continue doing LFT very regularly than other liver transplant patient as you have posterior sectoral ductal obstruction.
2) If bilirubin levels are not increased then you can wait for stenting, but you must continue LFT to watch for transaminases and bilirubin.
3) You can discontinue UDCA from perspective of liver protection.
4) To state as free of recurrence from HCC, you also need to do serum AFP (Alfa Feto Protein) level everytime with LFT.
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How Often Must Lft Be Done?

1) Your should continue doing LFT very regularly than other liver transplant patient as you have posterior sectoral ductal obstruction. 2) If bilirubin levels are not increased then you can wait for stenting, but you must continue LFT to watch for transaminases and bilirubin. 3) You can discontinue UDCA from perspective of liver protection. 4) To state as free of recurrence from HCC, you also need to do serum AFP (Alfa Feto Protein) level everytime with LFT.