This publication builds at the luck of earlier variants, once more supplying hepatologists the most up-tp-date medical advisor on how one can top deal with the liver transplant recipient. With a world mixture of skilled individuals, this new version highlights preliminary indication and choice of the aptitude recipient, administration of the donor organ, post-operative issues within the sufferer via to acute restoration, long term follow-up, and persisted well-being. this offers the consumer an entire advisor to the proper scientific administration of either the recipient and the donor organ via all phases of transplantation.Content:
Chapter 1 choice and review of the Recipient (Including Retransplantation) (pages 1–12): Audrey Coilly and Didier Samuel
Chapter 2 tracking the sufferer looking forward to Liver Transplantation (pages 13–25): Andreas Geier and Beat Mullhaupt
Chapter three administration of Portal high blood pressure (pages 26–38): Juan Carlos Garcia?Pagan, Juan G. Abraldes and Jaime Bosch
Chapter four administration of Renal sickness within the Liver Transplant Candidate (pages 39–50): Andres Cardenas and Pere Gines
Chapter five administration of Hepatopulmonary Syndrome and Portopulmonary high blood pressure (pages 51–61): Victor I. Machicao and Michael B. Fallon
Chapter 6 Psychiatric and Substance abuse evaluate of the aptitude Liver Transplant Recipient (pages 62–74): Thomas P. Beresford
Chapter 7 Organ Allocation in Liver Transplantation: Ethics, Organ provide, and Evidencebased perform (pages 75–87): Nicole Siparsky, David Axelrod and Richard B. Freeman
Chapter eight Viral Hepatitis and Transplantation (pages 88–96): Geoffrey W. McCaughan
Chapter nine Metabolic Liver ailments (pages 97–109): Maureen M. J. Guichelaar and Michael R. Charlton
Chapter 10 Cholestatic and Autoimmune Liver sickness (pages 110–120): Ulrich Beuers
Chapter eleven Hepatocellular Carcinoma (pages 121–132): Maria Reig, Alejandro Forner and Jordi Bruix
Chapter 12 Cholangiocarcinoma (pages 133–144): Howard C. Masuoka, Gregory J. Gores and Charles B. Rosen
Chapter thirteen infrequent symptoms for Liver Transplantation (pages 145–154): Stevan A. Gonzalez
Chapter 14 Liver Transplantation in HIV sufferers (pages 155–161): Marion G. Peters and Peter G. Stock
Chapter 15 Living?Donor Liver Transplantation (pages 162–175): Robert S. Brown
Chapter sixteen Fulminant Hepatic Failure (pages 176–187): Michael A. Heneghan and William Bernal
Chapter 17 Extended?Criteria Donor (pages 189–200): Ashraf Mohammad El?Badry and Mickael Lesurtel
Chapter 18 Liver Transplantation utilizing Donors After Cardiac dying (pages 201–215): Paolo Muiesan, Laura Tariciotti and Chiara Rocha
Chapter 19 Transmission of Malignancies and an infection via Donor Organs (pages 216–228): Aaron M. Winnick and Lewis Teperman
Chapter 20 The Transplant Operation (pages 229–237): Philipp Dutkowski, Olivier de Rougemont and Pierre?Alain Clavien
Chapter 21 tough Surgical sufferers (pages 238–245): Philipp Dutkowski, Stefan Breitenstein and Pierre?Alain Clavien
Chapter 22 Domino and Split?Liver Transplantation (pages 246–254): Abhideep Chaudhary and Abhinav Humar
Chapter 23 Surgical elements of Living?Donor Transplantation (pages 255–265): Kelvin ok. C. Ng and Sheung Tat Fan
Chapter 24 Anesthesia (pages 266–275): Beatrice Beck?Schimmer
Chapter 25 Coagulation and Blood Transfusion administration (pages 276–285): Herman G. D. Hendriks, Ton Lisman and Robert J. Porte
Chapter 26 serious Care of The Liver Transplant Recipient (pages 286–296): Markus Bechir, Erik Schadde and Philipp Dutkowski
Chapter 27 Rejection and Immunosuppression tendencies in Liver Transplantation (pages 297–310): James F. Trotter
Chapter 28 Vascular issues after Liver Transplantation (pages 311–318): Goran Klintmalm and Srinath Chinnakotla
Chapter 29 Biliary issues following Liver Transplantation (pages 319–331): Sanna op den Dries, Robert C. Verdonk and Robert J. Porte
Chapter 30 position of Histopathology (pages 332–344): Achim Weber
Chapter 31 scientific difficulties after Liver Transplantation (pages 345–360): Eberhard L. Renner and Marco Puglia
Chapter 32 Prevention and therapy of Recurrent HBV and HCV an infection (pages 361–371): Ed Gane
Chapter 33 Recurrence of the unique sickness (pages 372–379): James Neuberger
Chapter 34 Infections within the Liver Transplant Recipient (pages 380–388): Nicolas J. Mueller and Jay A. Fishman
Chapter 35 Cutaneous illnesses in Liver Transplant Recipients (pages 389–397): Sylvie Euvrard and Jean Kanitakis
Chapter 36 Post?Transplant Lymphoproliferative disease and different Malignancies after Liver Transplantation (pages 398–405): Natasha Chandok and Kymberly D. S. Watt
Chapter 37 Sexual functionality and Fertility after Liver Transplantation (pages 406–415): Andreas Geier and Beat Mullhaupt
Chapter 38 specified concerns in Pediatric Liver Transplantation (pages 417–430): Brandy Ries Lu and Ronald J. Sokol
Chapter 1 a number of selection Questions (pages 431–445):
Chapter 2 solutions (pages 446–450):
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Additional info for Medical Care of the Liver Transplant Patient, 4th edition
Moreover, beta-blockers may cause side effects such as fatigue and impotence, which may impair compliance, especially in younger males, or may be contraindicated. 5 mg), which proved to be superior compared to band ligation in a recent randomized, controlled trial,19 will replace the nonselective beta-blockers, remains to be seen. Currently, the following scheme can be recommended for primary prophylaxis of variceal hemorrhage:18 1. Patients at low risk for bleeding and small varices: nonselective beta-blockers are optional 2.
Abbreviations CCA: cholangiocarcinoma, HCC: hepatocellular carcinoma, HE: hepatic encephalopathy, HPS: hepatopulmonary syndrome, HRS: hepatorenal syndrome, PPHTN: portopulmonary hypertension, PSC: primary sclerosing cholangitis, SBP: spontaneous bacterial peritonitis. References 1. Fernandez-Esparrach G, Sanchez-Fueyo A, Gines P, et al. A prognostic model for predicting survival in cirrhosis with ascites. J Hepatol 2001;34:46–52. 2. Gines A, Fernandez-Esparrach G, Monescillo A, et al. Randomized trial comparing albumin, dextran 70, and polygeline in cirrhotic patients with ascites treated by paracentesis.
1 Portal hypertension can arise from any condition interfering with blood ﬂow at any level within the portal system. According to the anatomic location of the obstacle to blood ﬂow the causes of portal hypertension can be classiﬁed as pre-hepatic (involving the splenic, mesenteric or portal vein), intra-hepatic (liver diseases) and post-hepatic (diseases blocking the hepatic venous outﬂow). Cirrhosis of the liver is by far the most common cause of portal hypertension in the world, followed by hepatic schistosomiasis.
Medical Care of the Liver Transplant Patient, 4th edition