Long-term complications after visceral transplantation

被引：2

作者：

Darstein, F. ^{[1
]}

Zimmermann, T. ^{[1
]}

Lang, H. ^{[2
]}

机构：

[1] Univ Med Mainz, Interdisziplinares Transplantat Zentrum, Med Klin & Poliklin 1, Gastroenterol & Hepatol, Langenbeck Str 1, D-55131 Mainz, Germany

[2] Univ Med Mainz, Allgemein Viszeral & Transplantat Chirurg, Mainz, Germany

来源：

GASTROENTEROLOGE | 2019年 / 14卷 / 04期

关键词：

Liver transplantation; Postoperative complications; Survival rate; Immunosuppression; Graft rejection; DE-NOVO MALIGNANCY; LIVER-TRANSPLANTATION; RISK-FACTORS; PRACTICE GUIDELINE; RECIPIENTS; MANAGEMENT; TACROLIMUS; ORGAN; MORTALITY; EVOLUTION;

D O I：

10.1007/s11377-019-0360-3

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The impact of long-term complications after visceral transplantation is increasing due to organ shortage and improved survival. This article provides an overview of the literature, guidelines and expert opinions. Recurrence of the underlying disease, infections, malignancy and cardiovascular events are the main reasons for long-term mortality after visceral transplantation. Diabetes mellitus, arterial hypertension, obesity and hyperlipidemia are diagnosed more frequently compared to the general population. Furthermore, rejection episodes must be considered. Adequate evaluation before transplantation as well as intensive postoperative follow-up with screening for long-term complications and their therapy is necessary to optimize long-term survival after visceral transplantation.

引用

页码：296 / 300

页数：5

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