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Diarrhea persisted (n=3) or newly developed (n=4) in all patients after LT contributing to ongoing growth failure, with mean z-scores -2.63 (weight) and -2.98 (height) at follow-up. Histologically, allograft steatosis was common but was not accompanied by significant inflammation, ballooning, or fibrosis. We show that extrahepatic disease persists and near-universal allograft steatosis occurs. However, at a mean follow-up period of over 10years, no patients developed steatohepatitis or significant fibrosis, and both patient survival an