Published online Jun 28, 2015. doi: 10.4254/wjh.v7.i12.1606
Peer-review started: December 13, 2014
First decision: January 8, 2015
Revised: May 18, 2015
Accepted: June 1, 2015
Article in press: June 2, 2015
Published online: June 28, 2015
Processing time: 198 Days and 1.8 Hours
Core tip: Treatment landscape for liver transplant (LT) candidates and recipients with chronic hepatitis C is rapidly shifting due to novel updated data on direct antiviral agents (DAAs); Patients with decompensated cirrhosis awaiting LT should be treated with the interferon (IFN)-free, new generation DAAs, with or without ribavirin (RBV) regimens; IFN-free combinations of sofosbuvir with other novel DAAs with or without RBV led to remarkable on-treatment virological response along with minimal adverse effects “on difficult to treat” LT recipients with recurrent hepatitis C - those with chronic hepatitis C genotype 1, decompensated cirrhosis with Child-Pugh stage B and C as well as previously intolerant or non responsive to IFN therapy; Evidence regarding the efficacy and safety of novel combinative treatments although are very promising, refer still to patients case series.
