Management of the Liver Transplant Recipient Approach to Allograft Dysfunction

被引：6

作者：

Fenkel, Jonathan M. ^{[1
]}

Halegoua-DeMarzio, Dina L. ^{[1
]}

机构：

[1] Thomas Jefferson Univ, Div Gastroenterol & Hepatol, Dept Med, Sidney Kimmel Med Coll, 132 South 10th St,Suite 480,Main Bldg, Philadelphia, PA 19107 USA

来源：

MEDICAL CLINICS OF NORTH AMERICA | 2016年 / 100卷 / 03期

关键词：

Liver transplantation; Allograft dysfunction; Acute cellular rejection; Hepatitis; Immunosuppression; HEPATITIS-C; CYTOMEGALOVIRUS-INFECTION; BILIARY COMPLICATIONS; DISEASE; RECURRENCE; CARE; DEFINITION;

D O I：

10.1016/j.mcna.2016.01.001

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Liver transplant (LT) recipients are living longer than ever today and many will experience some form of allograft dysfunction. The common causes of allograft dysfunction vary significantly depending on the timing since LT. Most allograft abnormalities are manageable with minimally invasive procedures, medications, and lifestyle modification. The most common differential diagnoses by time period after LT, and diagnostic and management considerations, are highlighted. Collaboration and comanagement of LT recipients between primary care and the transplant hepatologist is essential for optimizing recipient and allograft outcomes.

引用

页码：477 / +

页数：11

共 30 条

[1] Abdominal imaging and intervention in liver transplantation [J].

Almusa, O ;

Federle, MP .

LIVER TRANSPLANTATION, 2006, 12 (02) :184-193

[2] Infections After Liver Transplantation: A Retrospective, Single-center Study [J].

Antunes, M. ;

Teixeira, A. ;

Fortuna, P. ;

Moya, B. ;

Martins, A. ;

Bagulho, L. ;

Pereira, J. P. ;

Bento, L. ;

Perdigoto, R. ;

Barroso, E. ;

Marcelino, P. .

TRANSPLANTATION PROCEEDINGS, 2015, 47 (04) :1019-1024

[3] Care of the liver transplant patient [J].

Bhat, Mamatha ;

Al-Busafi, Said A. ;

Deschenes, Marc ;

Ghali, Peter .

CANADIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 2014, 28 (04) :213-219

[4] Management of cytomegalovirus infection and disease in liver transplant recipients [J].

Bruminhent, Jackrapong ;

Razonable, Raymund R. .

WORLD JOURNAL OF HEPATOLOGY, 2014, 6 (06) :370-383

[5] Recurrence of hepatitis C infection: Where are we now? [J].

Charlton, M .

LIVER TRANSPLANTATION, 2005, 11 (11) :S57-S62

[6] Sofosbuvir and Ribavirin for Treatment of Compensated Recurrent Hepatitis C Virus Infection After Liver Transplantation [J].

Charlton, Michael ;

Gane, Edward ;

Manns, Michael P. ;

Brown, Robert S., Jr. ;

Curry, Michael P. ;

Kwo, Paul Y. ;

Fontana, Robert J. ;

Gilroy, Richard ;

Teperman, Lewis ;

Muir, Andrew J. ;

McHutchison, John G. ;

Symonds, William T. ;

Brainard, Diana ;

Kirby, Brian ;

Dvory-Sobol, Hadas ;

Denning, Jill ;

Arterburn, Sarah ;

Samuel, Didier ;

Forns, Xavier ;

Terrault, Norah A. .

GASTROENTEROLOGY, 2015, 148 (01) :108-117

[7] Early allograft dysfunction after liver transplantation -: A definition and predictors of outcome [J].

Deschênes, M ;

Belle, SH ;

Krom, RAF ;

Zetterman, RK ;

Lake, JR .

TRANSPLANTATION, 1998, 66 (03) :302-310

[8] Recurrence of autoimmune liver disease after liver transplantation: a systematic review [J].

Gautam, Manjushree ;

Cheruvattath, Rekha ;

Balan, Vijayan .

LIVER TRANSPLANTATION, 2006, 12 (12) :1813-1824

[9] CURRENT CONCEPTS Hepatitis E [J].

Hoofnagle, Jay H. ;

Nelson, Kenrad E. ;

Purcell, Robert H. .

NEW ENGLAND JOURNAL OF MEDICINE, 2012, 367 (13) :1237-1244

[10]

Hübscher SG, 2006, CURR OPIN ORGAN TRAN, V11, P283

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