Review

Vol. 32 No. 9 (2021): Turkish Journal of Gastroenterology

Recommendations for Hepatitis B Immunoglobulin and Antiviral Prophylaxis Against Hepatitis B Recurrence After Liver Transplantation

Main Article Content

Mesut Akarsu
Soner Onem
Ilker Turan
Gupse Adali
Meral Akdogan
Murat Akyildiz
Murat Aladag
Yasemin Balaban
Nilay Danis
Murat Dayangac
Genco Gencdal
Hale Gokcan
Elif Sertesen
Merve Gurakar
Murat Harputluoglu
Gokhan Kabacam
Sedat Karademir
Murat Kiyici
Ramazan Idilman
Zeki Karasu

Abstract

The combination of hepatitis B immunoglobulin and potent nucleos(t)ide analogs after liver transplantation is considered as the standard

of care for prophylaxis against hepatitis B virus recurrence. However, the recommended doses, route of administration, and duration

of HBIG administration remain unclear. Moreover, hepatitis B immunoglobulin-free prophylaxis with potent nucleos(t)ide analogs has

shown promising disease outcomes in preventing hepatitis B virus recurrence. The current recommendations, produced by the Turkish

Association for the Study of the Liver, Acute Liver Failure and Liver Transplantation Special Interest Group, suggest a reduced need for

hepatitis B immunoglobulin administration with effective long-term suppression of hepatitis B virus replication using potent nucleos(t)

ide analogs after liver transplantation.

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