REVIEWLiver transplantation for alcohol-associated hepatitisDurkin, Clairea; Bittermann, Theresea,b Author Information aDivision of Gastroenterology and Hepatology, Department of Medicine, Perelman School of Medicine bDepartment of Biostatistics, Epidemiology, and Informatics, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, Pennsylvania, USA Correspondence to Therese Bittermann, MD, MSCE, 3400 Spruce Street – 2 Dulles, Philadelphia, PA 19104, USA. Tel: +1 215 349 8222; e-mail: [email protected] Current Opinion in Organ Transplantation ():10.1097/MOT.0000000000001044, December 26, 2022. | DOI: 10.1097/MOT.0000000000001044 Buy PAP Metrics Abstract Purpose of review Early liver transplantation is emerging as a treatment option for severe alcohol-associated hepatitis refractory to pharmacotherapies. This review outlines the current status of transplantation for alcohol-associated hepatitis and the treatment of alcohol use disorder after liver transplantation. Recent findings Rates of early liver transplantation for alcohol-associated hepatitis are increasing with significant heterogeneity in practices across the Unites States. Recent studies have demonstrated a substantial survival benefit in patients transplanted for alcohol-associated hepatitis with improved outcomes in early vs. late transplantation, first vs. prior hepatic decompensation, and posttransplant abstinence/delayed relapse vs. early return to alcohol use. Several prediction algorithms have been developed to ascertain patients’ risk of alcohol relapse and aid in candidate selection, though data on treatment of alcohol use disorders in transplant recipients remains limited. Summary Although controversial, early liver transplantation for severe alcohol-associated hepatitis has shown to be a lifesaving intervention. Additional research is needed to evaluate its long-term outcomes, optimize candidate selection, and understand treatment of alcohol use disorder posttransplant. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.