Banff schema for grading liver allograft rejection: An international consensus document

@article{Demetris1997BanffSF,
  title={Banff schema for grading liver allograft rejection: An international consensus document},
  author={A. Demetris and K. Batts and A. Dhillon and L. Ferrell and J. Fung and S. Geller and J. Hart and P. Hayry and W. Hofmann and S. Hubscher and J. Kemnitz and G. Koukoulis and Randall G. Lee and K. Lewin and J. Ludwig and R. Markin and L. Petrovic and M. Phillips and B. Portmann and J. Rakela and P. Randhawa and F. Reinholt and M. Reyn{\`e}s and M. Robert and H. Schlitt and K. Solez and D. Snover and E. Taskinen and S. Thung and G. Tillery and R. Wiesner and D. Wight and J. Williams and H. Yamabe},
  journal={Hepatology},
  year={1997},
  volume={25}
}
A panel of recognized experts in liver transplantation pathology, hepatology, and surgery was convened for the purpose of developing a consensus document for the grading of acute liver allograft rejection that is scientifically correct, simple, and reproducible and clinically useful. [...] Key Method Over a period of 6 months pertinent issues were discussed via electronic communication media and a consensus conference was held in Banff, Canada in the summer of 1995.Expand
Banff schema for grading liver allograft rejection: utility in clinical practice.
  • D. Ormonde, W. B. de Boer, +5 authors W. Reed
  • Medicine
  • Liver transplantation and surgery : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
  • 1999
TLDR
In comparison to the Birmingham system, the Banff schema elevated the grade of liver allograft rejection in the majority of biopsy specimens, and this has the potential to alter clinical management with the adoption of theBanff schema or if the systems are used interchangeably. Expand
Banff Schema for Grading Pancreas Allograft Rejection: Working Proposal by a Multi‐Disciplinary International Consensus Panel
  • C. Drachenberg, J. Odorico, +28 authors D. Sutherland
  • Medicine
  • American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
  • 2008
TLDR
Criteria for the diagnosis of acute cell‐mediated allograft rejection (ACMR) were established, and three severity grades were defined based on lesions known to be more or less responsive to treatment and associated with better‐ or worse‐graft outcomes. Expand
Pathology of liver transplantation: an update
TLDR
A recently developed, internationally accepted schema for grading acute rejection and staging chronic rejection will be described and the assessment of other changes seen in biopsies obtained more than 12 months following liver transplantation is described. Expand
Serial liver biopsies: a gateway into understanding the long-term health of the liver allograft.
  • M. Lucey
  • Medicine
  • Journal of hepatology
  • 2001
The place of liver histology in the ongoing management of liver transplant patients has changed in concert with the prevailing preoccupations of liver transplant surgeons and physicians. The earlyExpand
2016 Comprehensive Update of the Banff Working Group on Liver Allograft Pathology: Introduction of Antibody‐Mediated Rejection
  • A. Demetris, C. Bellamy, +74 authors Y. Zen
  • Medicine
  • American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
  • 2016
TLDR
New recommendations for complement component 4d tissue staining and interpretation, staging liver allograft fibrosis, and findings related to immunosuppression minimization are included. Expand
Real-time monitoring of acute liver-allograft rejection using the Banff schema1
TLDR
Most acute-rejection episodes are mild and do not lead to clinically significant architectural sequelae and the Banff schema can be used to identify those few patients who are potentially at risk for more significant problems when tested prospectively under real-life and -time conditions. Expand
Real-time monitoring of acute liver-allograft rejection using the Banff schema.
TLDR
Most acute-rejection episodes are mild and do not lead to clinically significant architectural sequelae, and the Banff schema can be used to identify those few patients who are potentially at risk for more significant problems when tested prospectively under real-life and -time conditions. Expand
The Banff classification revisited.
TLDR
Despite the successes of the working classifications and ongoing collaborative efforts, there are limitations in this and other pathological classifications, related to potential for sampling error, issues of reproducibility when implemented globally, and lack of formal incorporation of morphometry and molecular and genomics approaches. Expand
Pathology of the liver allograft.
TLDR
In the following account, the various pathological changes that may affect liver allografts are reviewed with an emphasis on diagnostic difficulties. Expand
Current views on rejection pathology in liver transplantation
  • D. Neil, S. Hübscher
  • Medicine
  • Transplant international : official journal of the European Society for Organ Transplantation
  • 2010
TLDR
There are important areas of overlap between rejection and recurrent hepatitis C infection and the distinction between these two conditions continues to be a problem in the assessment of liver allograft biopsies. Expand
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References

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TLDR
A schema for international standardization of nomenclature and criteria for the histologic diagnosis of renal allograft rejection was developed in Banff, Canada on August 2-4, 1991 and validated by the circulation of sets of slides for scoring by participant pathologists. Expand
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TLDR
The following article is an attempt to acquaint pathologists with the morphologic features of liver allograft rejection. Expand
Histological findings in liver allograft rejection—new insights into the pathogenesis of hepatocellular damage in liver allografts
Liver transplantation is now widely accepted as a method of treating many otherwise incurable acute and chronic liver di~easesl-~. Considerable improvements in surgical technique andExpand
ACUTE LIVER ALLOGRAFT REJECTION—IS TREATMENT ALWAYS NECESSARY?
A group of 195 consecutive adult patients who received a primary orthotopic liver allograft were reviewed retrospectively to analyze the incidence of rejection, the response to antirejection therapy,Expand
Grading of cellular rejection after orthotopic liver transplantation
All 684 post‐orthotopic liver transplantation (OLT) liver biopsies performed at the Royal Free Hospital (RFH) between 1988 and 1993, from 120 patients, were reviewed in order to try to define theExpand
Pathology of hepatic transplantation: A review of 62 adult allograft recipients immunosuppressed with a cyclosporine/steroid regimen.
TLDR
Two pretransplant disorders, type B viral hepatitis and the Budd-Chiari syndrome, recurred in grafted organs and are helpful in planning an approach to management of liver allograft recipients. Expand
Chronic rejection after liver transplantation: A study of clinical, histopathological and immunological features
TLDR
It is concluded that chronic rejection after the operation is a relatively uncommon complication of liver transplantation with a variable clinical course and unpredictable outcome. Expand
Liver Allograft Rejection : An Analysis of the Use of Biopsy in Determining Outcome of Rejection
TLDR
Since many of the histologic findings of predictive value were not present in initial pretreatment biopsy specimens, follow-up biopsies of patients being treated for rejection are recommended to assess efficacy of therapy. Expand
Biopsy findings in cases of rejection of liver allograft.
TLDR
Features of rejection were found in 21 needle biopsies obtained from seven patients after liver transplantation, finding a dense mixed portal inflammatory infiltrate and polymorphonuclear infiltration of biliary epithelium. Expand
Reliability and predictive value of the National Institute of Diabetes and Digestive and Kidney Diseases Liver Transplantation Database nomenclature and grading system for cellular rejection of liver allografts.
TLDR
A higher histopathological grade of acute rejection on first biopsy diagnosis was significantly associated with both an unfavorable short-term and long-term outcome, defined by failure of the episode to resolve within 21 days or the need for aggressive immunosuppressive treatment. Expand
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