Investigating the Occurrence of Persistent Ascites After Liver Transplantation and Its Relationship With Graft Rejection

Introduction. Ascites is caused by fluid accumulation in the abdominal cavity, which can be caused by portal hypertension. Various causes are effective for the formation of ascites, which is different according to the gradient of albumin and protein in the ascites liquid. There are various indications and etiologies for liver transplantation in cirrhotic patients. The causes of ascites after transplant are different from infectious causes to seizure rejection. In this study, the frequency of resistant ascites after liver transplantation in patients and its relationship with rejection after transplantation has been investigated. Methodology. In this project, we retrospectively analyzed the data of patients who had liver transplantation for various causes of liver cirrhosis between December 2012 and December 2017, and the frequency and prevalence of resistant ascites after liver transplantation and its relationship with rejection after surgery were investigated. Result. It can be mentioned in the project results that a total of 493 patients who underwent liver transplantation were reviewed and the relevant causes were isolated, and 137 patients (27.8%) had evidence of rejection during a median follow-up period of 2 years. During this follow-up period, 48 patients (9.7%) died. 190 patients (38.5%) are women and 303 patients (61.5%) are men. 387 (78.5%) of patients have persistent ascites after liver transplantation. Conclusions. It should be noted that the incidence of ascites after liver transplantation has a significant relationship with the incidence of rejection after liver transplantation (p value: 0.009).