27 de junho de 2013

Artigo recomendado: Preparation of the patient for liver transplantation

Eduardo F Viñuela, Darius F Mirza

Indian Journal of Transplantation 2011 July–September (Supplement)
Volume 5, Number 3; pp. 120–125 Review Article

INTRODUCTION

Liver transplantation (LT) is an established life-saving treatment for patients with end-stage liver disease (ESLD), and as greater expertise and better care of these patients is available, the number of patients eligible for LT will continue to increase. Unfortunately, this ever-growing demand is not met by a comparable augmentation in the rate of donation. Therefore, it is common for most candidates to spend considerable time in the waiting list. During this period, patients are at risk of developing complications from ESLD that may negatively affect their expected postoperative outcome.

In addition, progression of their liver disease or other co-morbidities may result in them no longer being healthy enough to undergo LT. This paper focuses on the strategies and recommendations for the prevention, timely detection and management of complications diagnosed either, at the time of initial evaluation, or while the patient is waiting for LT in order to optimize the perioperative and long-term outcomes.

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